Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.66 / $91.98 / $232.91	Facility		$30.66	$91.98	$232.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $30.66 / $53.30	Professional		$17.29	$30.66	$53.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $34.25 / $63.61 / $226.44	Facility		$34.25	$63.61	$226.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $30.66 / $56.25	Professional		$16.11	$30.66	$56.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $59.17 / $95.40	Facility		$22.33	$59.17	$95.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $46.98 / $107.19	Professional		$33.40	$46.98	$107.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $31.47 / $34.61	Professional		$23.22	$31.47	$34.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $34.25 / $72.01	Facility		$32.61	$34.25	$72.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $48.93 / $89.71	Facility		$32.61	$48.93	$89.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $29.36 / $29.36	Professional		$29.36	$29.36	$29.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.51 / $53.82 / $89.71	Facility		$37.51	$53.82	$89.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $32.61 / $88.02	Professional		$24.47	$32.61	$88.02
United Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $13.70 / $32.61	Professional		$13.70	$13.70	$32.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $16.89	Professional		$14.68	$14.68	$16.89