Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.82 / $218.99 / $567.53	Facility		$96.82	$218.99	$567.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $96.82 / $210.57	Professional		$54.59	$96.82	$210.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $108.15 / $206.00 / $489.25	Facility		$108.15	$206.00	$489.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $50.87 / $93.73 / $195.70	Professional		$50.87	$93.73	$195.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.84 / $186.83 / $301.27	Facility		$70.84	$186.83	$301.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $120.38 / $194.03	Professional		$64.23	$120.38	$194.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $99.36 / $109.29	Professional		$73.33	$99.36	$109.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $108.15 / $227.37	Facility		$103.00	$108.15	$227.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $154.50 / $283.25	Facility		$103.00	$154.50	$283.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $92.70	Professional		$92.70	$92.70	$92.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $118.45 / $169.95 / $283.25	Facility		$118.45	$169.95	$283.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $103.00 / $277.54	Professional		$77.25	$103.00	$277.54
United Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $46.35 / $115.36	Professional		$43.26	$46.35	$115.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $46.35 / $53.35	Professional		$46.35	$46.35	$53.35