Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.99 / $138.84 / $357.49	Facility		$60.99	$138.84	$357.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $60.99 / $138.84	Professional		$50.20	$60.99	$138.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $68.12 / $129.76 / $310.17	Facility		$68.12	$129.76	$310.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $59.04 / $111.95	Professional		$32.04	$59.04	$111.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.90 / $117.68 / $189.77	Facility		$44.90	$117.68	$189.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $83.88 / $129.53	Professional		$45.10	$83.88	$129.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $62.59 / $68.84	Professional		$46.19	$62.59	$68.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $68.12 / $143.22	Facility		$64.88	$68.12	$143.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $97.32 / $178.42	Facility		$64.88	$97.32	$178.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $58.39 / $58.39	Professional		$58.39	$58.39	$58.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $74.61 / $107.05 / $178.42	Facility		$74.61	$107.05	$178.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $64.88 / $175.15	Professional		$48.66	$64.88	$175.15
United Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $29.20 / $64.88	Professional		$27.25	$29.20	$64.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $29.20 / $33.61	Professional		$29.20	$29.20	$33.61