Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.39 / $107.47 / $277.76	Facility		$47.39	$107.47	$277.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $47.39 / $72.18	Professional		$7.33	$47.39	$72.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $52.93 / $100.82 / $239.45	Facility		$52.93	$100.82	$239.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $47.39 / $86.95	Professional		$24.90	$47.39	$86.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.78 / $91.44 / $147.47	Facility		$34.78	$91.44	$147.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $66.54 / $108.68	Professional		$35.81	$66.54	$108.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $48.63 / $53.49	Professional		$35.88	$48.63	$53.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.41 / $52.93 / $111.28	Facility		$50.41	$52.93	$111.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.41 / $75.62 / $138.63	Facility		$50.41	$75.62	$138.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.37 / $45.37 / $45.37	Professional		$45.37	$45.37	$45.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $57.97 / $83.18 / $138.63	Facility		$57.97	$83.18	$138.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.81 / $50.41 / $135.63	Professional		$37.81	$50.41	$135.63
United Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $21.17 / $50.41	Professional		$21.17	$21.17	$50.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $22.68 / $26.11	Professional		$22.68	$22.68	$26.11