Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.89 / $70.14 / $242.61	Facility		$38.89	$70.14	$242.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $41.39 / $65.16	Professional		$21.60	$41.39	$65.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $44.03 / $72.25 / $209.14	Facility		$44.03	$72.25	$209.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $33.02 / $71.36	Professional		$17.61	$33.02	$71.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $71.55 / $113.69	Facility		$12.50	$71.55	$113.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $45.24 / $62.98	Professional		$23.19	$45.24	$62.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $42.48 / $46.72	Professional		$31.35	$42.48	$46.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.03 / $44.03 / $97.20	Facility		$44.03	$44.03	$97.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.03 / $66.05 / $121.08	Facility		$44.03	$66.05	$121.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.63 / $39.63 / $39.63	Professional		$39.63	$39.63	$39.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.23 / $72.25 / $121.08	Facility		$46.23	$72.25	$121.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $44.03 / $118.56	Professional		$23.01	$44.03	$118.56
United Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $18.48 / $44.03	Professional		$10.60	$18.48	$44.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $19.80 / $22.81	Professional		$19.80	$19.80	$22.81