Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.88 / $159.47 / $713.00	Facility		$81.88	$159.47	$713.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $76.97 / $130.44	Professional		$40.93	$76.97	$130.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $85.97 / $158.85 / $388.93	Facility		$85.97	$158.85	$388.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $73.69 / $127.00	Professional		$34.18	$73.69	$127.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.75 / $167.64 / $222.16	Facility		$119.75	$167.64	$222.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $94.16 / $117.71	Professional		$48.20	$94.16	$117.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $63.19	Professional		$58.29	$58.29	$63.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.88 / $81.88 / $180.75	Facility		$81.88	$81.88	$180.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.88 / $122.82 / $225.17	Facility		$81.88	$122.82	$225.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.69 / $85.97 / $116.27	Professional		$73.69	$85.97	$116.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $94.16 / $134.37 / $225.17	Facility		$94.16	$134.37	$225.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.41 / $81.88 / $220.96	Professional		$61.41	$81.88	$220.96
United Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $34.39 / $81.88	Professional		$34.39	$34.39	$81.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $36.85 / $42.41	Professional		$36.85	$36.85	$42.41