Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $133.66 / $376.24	Facility		$58.00	$133.66	$376.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.87 / $54.52 / $124.11	Professional		$44.87	$54.52	$124.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $60.90 / $116.00 / $532.57	Facility		$60.90	$116.00	$532.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $48.43 / $100.05	Professional		$28.64	$48.43	$100.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $66.48 / $83.12	Professional		$66.48	$66.48	$83.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $55.95 / $61.54	Professional		$41.29	$55.95	$61.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $60.90 / $128.04	Facility		$58.00	$60.90	$128.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $87.00 / $159.50	Facility		$58.00	$87.00	$159.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $52.20 / $52.20	Professional		$52.20	$52.20	$52.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $95.70 / $159.50	Facility		$66.70	$95.70	$159.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $58.00 / $156.29	Professional		$43.50	$58.00	$156.29
United Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $26.10 / $58.00	Professional		$24.36	$26.10	$58.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $26.10 / $30.04	Professional		$26.10	$26.10	$30.04