Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.55 / $171.93 / $442.84	Facility		$75.55	$171.93	$442.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $75.55 / $171.93	Professional		$62.17	$75.55	$171.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $84.39 / $160.74 / $381.76	Facility		$84.39	$160.74	$381.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $72.33 / $138.60	Professional		$13.23	$72.33	$138.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.71 / $100.58 / $207.52	Facility		$50.71	$100.58	$207.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $102.83 / $165.75	Professional		$54.75	$102.83	$165.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $77.53 / $85.28	Professional		$57.22	$77.53	$85.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $84.39 / $176.15	Facility		$80.37	$84.39	$176.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $120.56 / $221.02	Facility		$80.37	$120.56	$221.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.33 / $72.33 / $72.33	Professional		$72.33	$72.33	$72.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $92.43 / $132.61 / $221.02	Facility		$92.43	$132.61	$221.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $80.37 / $216.47	Professional		$60.28	$80.37	$216.47
United Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $33.76 / $90.01	Professional		$33.76	$33.76	$90.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $36.17 / $41.63	Professional		$36.17	$36.17	$41.63