Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.17 / $182.85 / $781.76	Facility		$116.17	$182.85	$781.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $54.75 / $174.43	Professional		$54.75	$54.75	$174.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $114.96 / $191.51 / $520.08	Facility		$114.96	$191.51	$520.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $92.59 / $170.00	Professional		$43.80	$92.59	$170.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.35 / $224.19 / $469.16	Facility		$55.35	$224.19	$469.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.81 / $125.55 / $156.94	Professional		$57.81	$125.55	$156.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $109.49 / $109.49	Professional		$109.49	$109.49	$109.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.49 / $114.96 / $241.70	Facility		$109.49	$114.96	$241.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.49 / $153.29 / $301.10	Facility		$109.49	$153.29	$301.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.86 / $114.96 / $155.47	Professional		$62.86	$114.96	$155.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $114.96 / $179.67 / $301.10	Facility		$114.96	$179.67	$301.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $109.49 / $295.51	Professional		$69.20	$109.49	$295.51
United Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $45.99 / $115.04	Professional		$45.99	$45.99	$115.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $49.27 / $56.72	Professional		$49.27	$49.27	$56.72