Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.72 / $58.20 / $201.28	Facility		$38.72	$58.20	$201.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $38.72 / $234.89	Professional		$20.32	$38.72	$234.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $63.93 / $173.52	Facility		$38.36	$63.93	$173.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $30.87 / $59.47	Professional		$14.61	$30.87	$59.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $74.78 / $156.66	Facility		$18.45	$74.78	$156.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $42.13 / $52.66	Professional		$19.39	$42.13	$52.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $36.53 / $36.53	Professional		$36.53	$36.53	$36.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $36.53 / $80.64	Facility		$36.53	$36.53	$80.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $51.14 / $100.46	Facility		$36.53	$51.14	$100.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $38.36 / $51.87	Professional		$20.95	$38.36	$51.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $59.95 / $100.46	Facility		$38.36	$59.95	$100.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $36.53 / $98.80	Professional		$23.08	$36.53	$98.80
United Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $15.34 / $36.53	Professional		$15.34	$15.34	$36.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $16.44 / $18.92	Professional		$16.44	$16.44	$18.92