Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.73 / $186.08 / $479.15	Facility		$81.73	$186.08	$479.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $81.73 / $178.92	Professional		$46.09	$81.73	$178.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $91.31 / $173.92 / $413.06	Facility		$91.31	$173.92	$413.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $42.94 / $81.73 / $150.00	Professional		$42.94	$81.73	$150.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.10 / $157.69 / $254.34	Facility		$59.10	$157.69	$254.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $108.45 / $174.68	Professional		$57.67	$108.45	$174.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.91 / $83.89 / $92.27	Professional		$61.91	$83.89	$92.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $86.96 / $91.31 / $191.96	Facility		$86.96	$91.31	$191.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.96 / $130.44 / $239.14	Facility		$86.96	$130.44	$239.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $78.26 / $78.26	Professional		$78.26	$78.26	$78.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $143.47 / $239.14	Facility		$100.00	$143.47	$239.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.22 / $86.96 / $234.43	Professional		$65.22	$86.96	$234.43
United Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $36.52 / $86.96	Professional		$36.52	$36.52	$86.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $39.13 / $45.05	Professional		$39.13	$39.13	$45.05