Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.35 / $102.26 / $353.69	Facility		$28.35	$102.26	$353.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $60.34 / $95.00	Professional		$27.09	$60.34	$95.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $64.19 / $102.70 / $304.89	Facility		$64.19	$102.70	$304.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $49.29 / $99.00	Professional		$24.97	$49.29	$99.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.75 / $131.41 / $166.88	Facility		$66.75	$131.41	$166.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.16 / $65.78 / $91.89	Professional		$16.16	$65.78	$91.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $45.70 / $49.53	Professional		$45.70	$45.70	$49.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.19 / $64.19 / $141.69	Facility		$64.19	$64.19	$141.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.77 / $89.87 / $176.52	Facility		$57.77	$89.87	$176.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $67.40 / $91.15	Professional		$15.24	$67.40	$91.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67.40 / $105.34 / $176.52	Facility		$67.40	$105.34	$176.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $64.19 / $173.35	Professional		$36.72	$64.19	$173.35
United Facility/Professional Facility Modifier Low / Median / High Price $64.19 / $77.03 / $77.03	Facility		$64.19	$77.03	$77.03
United Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $26.96 / $64.19	Professional		$17.01	$26.96	$64.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $28.89 / $33.25	Professional		$28.89	$28.89	$33.25