Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.47 / $80.45 / $278.26	Facility		$47.47	$80.45	$278.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.76 / $40.40 / $71.59	Professional		$26.76	$40.40	$71.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $53.03 / $90.90 / $239.88	Facility		$53.03	$90.90	$239.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $47.47 / $87.15	Professional		$24.94	$47.47	$87.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.81 / $91.58 / $147.74	Facility		$33.81	$91.58	$147.74
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 $35.96 / $48.72 / $53.59	Professional		$35.96	$48.72	$53.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $55.55 / $111.48	Facility		$50.50	$55.55	$111.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $75.75 / $138.88	Facility		$50.50	$75.75	$138.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $45.45 / $45.45	Professional		$45.45	$45.45	$45.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.08 / $82.87 / $138.88	Facility		$58.08	$82.87	$138.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $50.50 / $136.53	Professional		$37.88	$50.50	$136.53
United Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $21.21 / $50.50	Professional		$21.21	$21.21	$50.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $22.73 / $26.16	Professional		$22.73	$22.73	$26.16