Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.54 / $109.06 / $279.37	Facility		$48.54	$109.06	$279.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $51.96 / $77.45	Professional		$21.23	$51.96	$77.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $54.22 / $103.28 / $757.56	Facility		$54.22	$103.28	$757.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $46.99 / $89.10	Professional		$25.50	$46.99	$89.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $93.65 / $151.07	Facility		$35.36	$93.65	$151.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $59.47 / $85.85	Professional		$32.21	$59.47	$85.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $49.82 / $54.80	Professional		$36.76	$49.82	$54.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.64 / $54.22 / $114.00	Facility		$51.64	$54.22	$114.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.64 / $77.45 / $142.01	Facility		$51.64	$77.45	$142.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.48 / $46.48 / $46.48	Professional		$46.48	$46.48	$46.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $59.39 / $85.21 / $142.01	Facility		$59.39	$85.21	$142.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $51.64 / $139.22	Professional		$38.72	$51.64	$139.22
United Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $21.69 / $51.64	Professional		$21.69	$21.69	$51.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $23.24 / $26.75	Professional		$23.24	$23.24	$26.75