Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.81 / $60.73 / $257.60	Facility		$36.81	$60.73	$257.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $36.81 / $36.81	Professional		$3.33	$36.81	$36.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $353.14 / $639.47	Facility		$90.00	$353.14	$639.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $25.09 / $80.58	Professional		$13.39	$25.09	$80.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $9.50 / $84.19	Facility		$1.33	$9.50	$84.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $26.85 / $42.18	Professional		$15.34	$26.85	$42.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $84.50	Professional		$40.00	$40.00	$84.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $44.92 / $180.20	Facility		$37.40	$44.92	$180.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $29.80 / $29.80	Professional		$29.80	$29.80	$29.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $298.27 / $483.76 / $920.49	Facility		$298.27	$483.76	$920.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.91 / $42.50 / $81.73	Professional		$19.91	$42.50	$81.73
United Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $13.79 / $34.54	Professional		$8.80	$13.79	$34.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.19 / $15.69	Professional		$11.19	$11.19	$15.69