Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.21 / $156.30 / $530.78	Facility		$92.21	$156.30	$530.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $92.22 / $145.19	Professional		$75.23	$92.22	$145.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $103.02 / $161.00 / $466.02	Facility		$103.02	$161.00	$466.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $75.54 / $152.00	Professional		$39.24	$75.54	$152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.04 / $144.12 / $253.33	Facility		$42.04	$144.12	$253.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $112.75 / $140.94	Professional		$51.93	$112.75	$140.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $76.20 / $98.11	Professional		$76.20	$76.20	$98.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $103.02 / $216.58	Facility		$98.11	$103.02	$216.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $147.16 / $269.80	Facility		$98.11	$147.16	$269.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $103.02 / $139.32	Professional		$74.58	$103.02	$139.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $112.83 / $161.00 / $269.80	Facility		$112.83	$161.00	$269.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.58 / $98.11 / $264.97	Professional		$73.58	$98.11	$264.97
United Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $41.21 / $98.11	Professional		$38.07	$41.21	$98.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $44.15 / $50.82	Professional		$44.15	$44.15	$50.82