Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.52 / $186.06 / $757.60	Facility		$95.52	$186.06	$757.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $89.79 / $152.16	Professional		$47.75	$89.79	$152.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $185.31 / $453.72	Facility		$100.30	$185.31	$453.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $85.97 / $148.00	Professional		$39.86	$85.97	$148.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.69 / $195.58 / $259.16	Facility		$139.69	$195.58	$259.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.12 / $109.86 / $137.32	Professional		$56.12	$109.86	$137.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $68.00 / $73.72	Professional		$68.00	$68.00	$73.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $95.52 / $100.30 / $210.86	Facility		$95.52	$100.30	$210.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.52 / $143.28 / $262.68	Facility		$95.52	$143.28	$262.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.97 / $100.30 / $135.63	Professional		$85.97	$100.30	$135.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $109.85 / $156.75 / $262.68	Facility		$109.85	$156.75	$262.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.64 / $95.52 / $257.77	Professional		$71.64	$95.52	$257.77
United Facility/Professional Facility Modifier Low / Median / High Price $60.91 / $90.74 / $95.52	Facility		$60.91	$90.74	$95.52
United Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $106.98	Professional		$40.11	$40.11	$106.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $42.98 / $49.48	Professional		$42.98	$42.98	$49.48