Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.31 / $98.59 / $253.85	Facility		$43.31	$98.59	$253.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $43.31 / $94.80	Professional		$24.42	$43.31	$94.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $48.37 / $92.14 / $218.83	Facility		$48.37	$92.14	$218.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $43.31 / $79.50	Professional		$22.75	$43.31	$79.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.57 / $83.55 / $134.78	Facility		$31.57	$83.55	$134.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $60.36 / $97.26	Professional		$32.02	$60.36	$97.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $44.44 / $48.88	Professional		$32.79	$44.44	$48.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $48.37 / $101.70	Facility		$46.07	$48.37	$101.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $69.11 / $126.69	Facility		$46.07	$69.11	$126.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $41.46 / $41.46	Professional		$41.46	$41.46	$41.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.98 / $76.02 / $126.69	Facility		$52.98	$76.02	$126.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $46.07 / $123.95	Professional		$34.54	$46.07	$123.95
United Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $19.35 / $46.07	Professional		$19.35	$19.35	$46.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $20.73 / $23.86	Professional		$20.73	$20.73	$23.86