Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.18 / $143.29 / $370.33	Facility		$63.18	$143.29	$370.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $63.18 / $137.78	Professional		$35.61	$63.18	$137.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $70.56 / $134.41 / $319.25	Facility		$70.56	$134.41	$319.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $61.16 / $127.70	Professional		$33.19	$61.16	$127.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.41 / $121.90 / $196.61	Facility		$46.41	$121.90	$196.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $78.77 / $114.14	Professional		$42.04	$78.77	$114.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $64.84 / $71.32	Professional		$47.85	$64.84	$71.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $70.56 / $164.00	Facility		$67.20	$70.56	$164.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $100.82 / $184.83	Facility		$67.20	$100.82	$184.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.49 / $60.49 / $60.49	Professional		$60.49	$60.49	$60.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.29 / $110.90 / $184.83	Facility		$77.29	$110.90	$184.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $67.20 / $181.44	Professional		$50.41	$67.20	$181.44
United Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $28.23 / $67.20	Professional		$28.23	$28.23	$67.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $30.24 / $34.81	Professional		$30.24	$30.24	$34.81