Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.70 / $152.49 / $599.09	Facility		$62.70	$152.49	$599.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $62.70 / $106.26	Professional		$35.35	$62.70	$106.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $70.04 / $133.40 / $316.83	Facility		$70.04	$133.40	$316.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $60.70 / $126.73	Professional		$32.94	$60.70	$126.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.84 / $120.98 / $195.12	Facility		$45.84	$120.98	$195.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $87.97 / $148.38	Professional		$49.06	$87.97	$148.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.48 / $64.34 / $70.78	Professional		$47.48	$64.34	$70.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $70.04 / $147.24	Facility		$66.70	$70.04	$147.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.05 / $183.43	Facility		$66.70	$100.05	$183.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $60.03 / $60.03	Professional		$60.03	$60.03	$60.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $110.06 / $183.43	Facility		$76.70	$110.06	$183.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.03 / $66.70 / $179.64	Professional		$50.03	$66.70	$179.64
United Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $33.07 / $66.70	Professional		$28.01	$33.07	$66.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $30.02 / $34.54	Professional		$30.02	$30.02	$34.54