Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $124.86 / $564.83	Facility		$49.03	$124.86	$564.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $46.09 / $133.38	Professional		$25.98	$46.09	$133.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $51.48 / $98.06 / $368.90	Facility		$51.48	$98.06	$368.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $44.62 / $84.60	Professional		$24.21	$44.62	$84.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.94 / $100.39 / $143.41	Facility		$33.94	$100.39	$143.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $64.75 / $97.88	Professional		$34.09	$64.75	$97.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.91 / $37.84 / $49.03	Professional		$34.91	$37.84	$49.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $51.48 / $108.23	Facility		$49.03	$51.48	$108.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $73.55 / $134.83	Facility		$49.03	$73.55	$134.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $44.13 / $44.13	Professional		$44.13	$44.13	$44.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $56.38 / $80.90 / $134.83	Facility		$56.38	$80.90	$134.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $49.03 / $132.04	Professional		$36.77	$49.03	$132.04
United Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $24.30 / $54.91	Professional		$20.59	$24.30	$54.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $22.06 / $25.40	Professional		$22.06	$22.06	$25.40