Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.53 / $97.98 / $332.72	Facility		$37.53	$97.98	$332.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $40.13 / $57.81	Professional		$30.75	$40.13	$57.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $61.50 / $100.92 / $292.13	Facility		$61.50	$100.92	$292.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $46.13 / $99.68	Professional		$24.60	$46.13	$99.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $112.53 / $158.82	Facility		$23.78	$112.53	$158.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $65.08 / $88.28	Professional		$32.54	$65.08	$88.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $59.33 / $65.26	Professional		$43.79	$59.33	$65.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.50 / $61.50 / $135.76	Facility		$61.50	$61.50	$135.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.35 / $92.25 / $169.13	Facility		$55.35	$92.25	$169.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $55.35 / $55.35	Professional		$55.35	$55.35	$55.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $64.58 / $100.92 / $169.13	Facility		$64.58	$100.92	$169.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $61.50 / $166.17	Professional		$43.79	$61.50	$166.17
United Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $25.83 / $61.50	Professional		$19.69	$25.83	$61.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $27.68 / $31.86	Professional		$27.68	$27.68	$31.86