Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.57 / $206.04 / $712.61	Facility		$121.57	$206.04	$712.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.42 / $121.57 / $191.41	Professional		$72.42	$121.57	$191.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $135.80 / $226.33 / $614.32	Facility		$135.80	$226.33	$614.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $51.73 / $97.00 / $210.12	Professional		$51.73	$97.00	$210.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.96 / $189.98 / $333.93	Facility		$53.96	$189.98	$333.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $136.75 / $185.85	Professional		$68.37	$136.75	$185.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.08 / $124.76 / $137.23	Professional		$92.08	$124.76	$137.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $129.33 / $129.33 / $285.50	Facility		$129.33	$129.33	$285.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.33 / $194.00 / $355.66	Facility		$129.33	$194.00	$355.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.40 / $116.40 / $116.40	Professional		$116.40	$116.40	$116.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $139.27 / $212.23 / $355.66	Facility		$139.27	$212.23	$355.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $129.33 / $349.40	Professional		$97.00	$129.33	$349.40
United Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $54.32 / $129.33	Professional		$45.31	$54.32	$129.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.20 / $58.20 / $66.98	Professional		$58.20	$58.20	$66.98