Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.26 / $168.54 / $423.39	Facility		$78.26	$168.54	$423.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $73.56 / $161.03	Professional		$41.47	$73.56	$161.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $82.17 / $140.87 / $386.85	Facility		$82.17	$140.87	$386.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $73.56 / $148.69	Professional		$38.65	$73.56	$148.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $141.93 / $228.92	Facility		$51.45	$141.93	$228.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.77 / $111.08 / $183.61	Professional		$60.77	$111.08	$183.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.72 / $75.50 / $83.05	Professional		$55.72	$75.50	$83.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.26 / $82.17 / $172.76	Facility		$78.26	$82.17	$172.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.26 / $117.39 / $215.22	Facility		$78.26	$117.39	$215.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.43 / $70.43 / $70.43	Professional		$70.43	$70.43	$70.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $129.13 / $215.22	Facility		$90.00	$129.13	$215.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $78.26 / $211.08	Professional		$58.70	$78.26	$211.08
United Facility/Professional Facility Modifier Low / Median / High Price $59.04 / $59.04 / $59.04	Facility		$59.04	$59.04	$59.04
United Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $32.86 / $78.26	Professional		$32.86	$32.86	$78.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $35.22 / $40.54	Professional		$35.22	$35.22	$40.54