Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.46 / $75.81 / $262.22	Facility		$37.46	$75.81	$262.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $44.73 / $70.43	Professional		$25.89	$44.73	$70.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $47.59 / $83.28 / $227.61	Facility		$47.59	$83.28	$227.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $39.65 / $90.42	Professional		$23.50	$39.65	$90.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.95 / $86.31 / $139.19	Facility		$32.95	$86.31	$139.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $61.42 / $94.96	Professional		$33.04	$61.42	$94.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.91 / $50.50	Professional		$33.88	$45.91	$50.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.59 / $49.97 / $105.05	Facility		$47.59	$49.97	$105.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.03 / $71.39 / $130.87	Facility		$44.03	$71.39	$130.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $42.83 / $42.83	Professional		$42.83	$42.83	$42.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.97 / $78.09 / $130.87	Facility		$49.97	$78.09	$130.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.69 / $47.59 / $128.44	Professional		$35.69	$47.59	$128.44
United Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $47.59	Professional		$19.98	$19.98	$47.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $21.42 / $24.65	Professional		$21.42	$21.42	$24.65