Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.04 / $207.00 / $576.00	Facility		$74.04	$207.00	$576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $74.04 / $78.76	Professional		$33.14	$74.04	$78.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $78.77 / $129.26 / $374.16	Facility		$78.77	$129.26	$374.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.51 / $59.08 / $128.00	Professional		$31.51	$59.08	$128.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $115.71 / $203.39	Facility		$19.64	$115.71	$203.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $80.73 / $113.58	Professional		$36.69	$80.73	$113.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.08 / $75.98 / $83.58	Professional		$56.08	$75.98	$83.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.77 / $78.77 / $173.88	Facility		$78.77	$78.77	$173.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.89 / $118.16 / $216.62	Facility		$70.89	$118.16	$216.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $70.89 / $70.89	Professional		$70.89	$70.89	$70.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $82.71 / $129.26 / $216.62	Facility		$82.71	$129.26	$216.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $78.77 / $212.87	Professional		$36.18	$78.77	$212.87
United Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $33.08 / $78.77	Professional		$16.26	$33.08	$78.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $35.45 / $40.79	Professional		$35.45	$35.45	$40.79