Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $128.18 / $443.34	Facility		$18.55	$128.18	$443.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $40.22 / $75.63	Professional		$7.94	$40.22	$75.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $128.74 / $382.19	Facility		$80.45	$128.74	$382.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $60.35 / $130.83	Professional		$9.43	$60.35	$130.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $118.20 / $207.76	Facility		$5.97	$118.20	$207.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $42.58 / $115.64	Professional		$11.01	$42.58	$115.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.28 / $77.62 / $85.38	Professional		$57.28	$77.62	$85.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $177.62	Facility		$80.45	$80.45	$177.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.41 / $120.69 / $221.27	Facility		$72.41	$120.69	$221.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $72.41 / $72.41	Professional		$72.41	$72.41	$72.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $84.48 / $132.03 / $221.27	Facility		$84.48	$132.03	$221.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $80.45 / $217.36	Professional		$10.98	$80.45	$217.36
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $33.79 / $80.45	Professional		$5.05	$33.79	$80.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $36.21 / $41.68	Professional		$36.21	$36.21	$41.68