Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.61 / $140.00 / $484.22	Facility		$82.61	$140.00	$484.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.84 / $82.61 / $138.72	Professional		$49.84	$82.61	$138.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $92.27 / $163.03 / $417.43	Facility		$92.27	$163.03	$417.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $74.25 / $142.72	Professional		$35.15	$74.25	$142.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $129.09 / $228.48	Facility		$44.59	$129.09	$228.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.39 / $101.19 / $128.56	Professional		$46.39	$101.19	$128.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $84.78 / $93.25	Professional		$62.56	$84.78	$93.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.88 / $92.27 / $194.00	Facility		$87.88	$92.27	$194.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.88 / $131.82 / $241.67	Facility		$87.88	$131.82	$241.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $79.09 / $79.09	Professional		$79.09	$79.09	$79.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $101.06 / $144.21 / $241.67	Facility		$101.06	$144.21	$241.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $87.88 / $237.12	Professional		$65.91	$87.88	$237.12
United Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $36.90 / $87.88	Professional		$36.90	$36.90	$87.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $45.52	Professional		$39.54	$39.54	$45.52