Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $72.14 / $249.49	Facility		$45.23	$72.14	$249.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $45.23 / $67.92	Professional		$45.22	$45.23	$67.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $45.28 / $72.45 / $215.08	Facility		$45.28	$72.45	$215.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $41.20 / $73.63	Professional		$18.11	$41.20	$73.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $72.98 / $114.23	Facility		$45.60	$72.98	$114.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $52.04 / $65.05	Professional		$25.11	$52.04	$65.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.28 / $49.81 / $67.92	Facility		$45.28	$49.81	$67.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $45.28 / $45.28	Facility		$40.75	$45.28	$45.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $47.49 / $64.30	Professional		$38.45	$47.49	$64.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.54 / $72.45 / $122.26	Facility		$47.54	$72.45	$122.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $45.28 / $122.16	Professional		$33.96	$45.28	$122.16
United Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $27.14 / $45.28	Professional		$27.14	$27.14	$45.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $23.46 / $23.46	Professional		$23.46	$23.46	$23.46