Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.54 / $119.59 / $307.95	Facility		$52.54	$119.59	$307.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $52.54 / $119.59	Professional		$52.54	$52.54	$119.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $58.68 / $111.78 / $265.48	Facility		$58.68	$111.78	$265.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $50.86 / $106.19	Professional		$27.60	$50.86	$106.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.13 / $101.34 / $163.49	Facility		$38.13	$101.34	$163.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $64.43 / $85.85	Professional		$34.94	$64.43	$85.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $53.92 / $59.31	Professional		$39.79	$53.92	$59.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.89 / $58.68 / $123.38	Facility		$55.89	$58.68	$123.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.89 / $83.84 / $153.69	Facility		$55.89	$83.84	$153.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.30 / $50.30 / $50.30	Professional		$50.30	$50.30	$50.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $64.27 / $92.22 / $153.69	Facility		$64.27	$92.22	$153.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $55.89 / $150.90	Professional		$41.92	$55.89	$150.90
United Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $25.15 / $62.60	Professional		$23.47	$25.15	$62.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $25.15 / $28.95	Professional		$25.15	$25.15	$28.95