Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $118.95 / $385.35	Facility		$71.23	$118.95	$385.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $66.95 / $112.71	Professional		$40.50	$66.95	$112.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $74.79 / $124.65 / $338.34	Facility		$74.79	$124.65	$338.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $60.34 / $115.54	Professional		$28.49	$60.34	$115.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.24 / $104.64 / $185.20	Facility		$36.24	$104.64	$185.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $81.77 / $104.70	Professional		$37.72	$81.77	$104.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $68.72 / $75.59	Professional		$50.71	$68.72	$75.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $74.79 / $157.24	Facility		$71.23	$74.79	$157.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $106.85 / $195.88	Facility		$71.23	$106.85	$195.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $64.11 / $64.11	Professional		$64.11	$64.11	$64.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $81.91 / $116.89 / $195.88	Facility		$81.91	$116.89	$195.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $71.23 / $192.21	Professional		$53.42	$71.23	$192.21
United Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $29.92 / $71.23	Professional		$29.92	$29.92	$71.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $32.04 / $36.90	Professional		$32.04	$32.04	$36.90