Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.36 / $113.85 / $201.45	Facility		$34.36	$113.85	$201.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $34.36 / $120.82	Professional		$34.36	$34.36	$120.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $38.39 / $73.12 / $344.35	Facility		$38.39	$73.12	$344.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $36.56 / $83.65	Professional		$18.05	$36.56	$83.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.81 / $72.56 / $106.92	Facility		$36.81	$72.56	$106.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $52.66 / $112.98	Professional		$37.59	$52.66	$112.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $35.27 / $38.79	Professional		$26.03	$35.27	$38.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $38.39 / $113.78	Facility		$36.56	$38.39	$113.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $54.84 / $115.25	Facility		$36.56	$54.84	$115.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $32.90 / $32.90	Professional		$32.90	$32.90	$32.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.04 / $60.32 / $100.89	Facility		$42.04	$60.32	$100.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $36.56 / $98.80	Professional		$27.42	$36.56	$98.80
United Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $16.45 / $43.87	Professional		$15.36	$16.45	$43.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $16.45 / $18.94	Professional		$16.45	$16.45	$18.94