Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.77 / $169.09 / $584.83	Facility		$99.77	$169.09	$584.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.44 / $99.77 / $157.09	Professional		$59.44	$99.77	$157.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $111.45 / $191.05 / $504.17	Facility		$111.45	$191.05	$504.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $81.51 / $201.67	Professional		$42.46	$81.51	$201.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.57 / $155.91 / $274.06	Facility		$44.57	$155.91	$274.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.08 / $121.58 / $152.29	Professional		$56.08	$121.58	$152.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $102.39 / $112.62	Professional		$75.56	$102.39	$112.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $106.14 / $111.45 / $234.30	Facility		$106.14	$111.45	$234.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.14 / $159.21 / $291.89	Facility		$106.14	$159.21	$291.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.53 / $95.53 / $95.53	Professional		$95.53	$95.53	$95.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $115.05 / $174.18 / $291.89	Facility		$115.05	$174.18	$291.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $106.14 / $286.52	Professional		$79.61	$106.14	$286.52
United Facility/Professional Professional Modifier Low / Median / High Price $37.78 / $44.58 / $127.37	Professional		$37.78	$44.58	$127.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $47.76 / $54.98	Professional		$47.76	$47.76	$54.98