Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.35 / $94.13 / $242.39	Facility		$41.35	$94.13	$242.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $35.19 / $69.34	Professional		$23.32	$35.19	$69.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $46.19 / $87.98 / $379.10	Facility		$46.19	$87.98	$379.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $40.03 / $83.58	Professional		$21.72	$40.03	$83.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.27 / $79.78 / $128.66	Facility		$30.27	$79.78	$128.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $62.98 / $109.67	Professional		$36.15	$62.98	$109.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $42.44 / $46.68	Professional		$31.32	$42.44	$46.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $48.39 / $235.75	Facility		$43.99	$48.39	$235.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $65.98 / $120.97	Facility		$43.99	$65.98	$120.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $39.59 / $39.59	Professional		$39.59	$39.59	$39.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50.59 / $72.58 / $120.97	Facility		$50.59	$72.58	$120.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $43.99 / $118.56	Professional		$32.99	$43.99	$118.56
United Facility/Professional Facility Modifier Low / Median / High Price $28.59 / $41.79 / $43.99	Facility		$28.59	$41.79	$43.99
United Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $18.48 / $43.99	Professional		$18.48	$18.48	$43.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $19.80 / $22.79	Professional		$19.80	$19.80	$22.79