Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.69 / $156.97 / $502.29	Facility		$85.69	$156.97	$502.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.32 / $85.69 / $150.93	Professional		$48.32	$85.69	$150.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $95.72 / $168.00 / $433.01	Facility		$95.72	$168.00	$433.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $82.96 / $157.30	Professional		$45.02	$82.96	$157.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.50 / $165.34 / $266.63	Facility		$61.50	$165.34	$266.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.15 / $116.87 / $188.57	Professional		$62.15	$116.87	$188.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $87.94 / $96.73	Professional		$64.90	$87.94	$96.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.16 / $95.72 / $201.24	Facility		$91.16	$95.72	$201.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.16 / $136.74 / $250.69	Facility		$91.16	$136.74	$250.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.04 / $82.04 / $82.04	Professional		$82.04	$82.04	$82.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $104.83 / $149.59 / $250.69	Facility		$104.83	$149.59	$250.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $91.16 / $246.11	Professional		$68.37	$91.16	$246.11
United Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $38.29 / $91.16	Professional		$38.29	$38.29	$91.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.02 / $41.02 / $47.22	Professional		$41.02	$41.02	$47.22