Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.63 / $123.91 / $510.24	Facility		$77.63	$123.91	$510.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.11 / $73.11 / $116.67	Professional		$45.11	$73.11	$116.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $81.67 / $140.00 / $369.46	Facility		$81.67	$140.00	$369.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $58.34 / $126.30	Professional		$31.11	$58.34	$126.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.12 / $135.43 / $200.85	Facility		$26.12	$135.43	$200.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $80.04 / $111.51	Professional		$41.20	$80.04	$111.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $60.02 / $77.78	Professional		$55.37	$60.02	$77.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.78 / $77.78 / $171.70	Facility		$77.78	$77.78	$171.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.78 / $116.67 / $213.90	Facility		$77.78	$116.67	$213.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $81.67 / $127.64 / $213.90	Facility		$81.67	$127.64	$213.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.09 / $77.78 / $210.18	Professional		$48.09	$77.78	$210.18
United Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $32.67 / $77.78	Professional		$21.78	$32.67	$77.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $40.29	Professional		$35.00	$35.00	$40.29