Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.56 / $247.72 / $525.00	Facility		$116.56	$247.72	$525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $123.00 / $154.19	Professional		$71.68	$123.00	$154.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $164.10 / $475.00	Facility		$105.00	$164.10	$475.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $86.76 / $155.00	Professional		$40.00	$86.76	$155.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.21 / $146.90 / $260.00	Facility		$43.21	$146.90	$260.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $114.81 / $143.52	Professional		$52.79	$114.81	$143.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $96.47 / $106.11	Professional		$71.20	$96.47	$106.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $220.75	Facility		$100.00	$100.00	$220.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $150.00 / $275.00	Facility		$100.00	$150.00	$275.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $105.00 / $142.00	Professional		$86.76	$105.00	$142.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $164.10 / $275.00	Facility		$115.00	$164.10	$275.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $100.00 / $269.45	Professional		$75.00	$100.00	$269.45
United Facility/Professional Professional Modifier Low / Median / High Price $37.14 / $42.00 / $100.00	Professional		$37.14	$42.00	$100.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $51.80	Professional		$45.00	$45.00	$51.80