Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.81 / $55.22 / $756.95	Facility		$36.81	$55.22	$756.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $36.81 / $36.81	Professional		$18.85	$36.81	$36.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $376.25 / $639.47	Facility		$90.00	$376.25	$639.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $28.41 / $81.73	Professional		$13.39	$28.41	$81.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $10.73 / $120.23	Facility		$1.33	$10.73	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $28.24 / $42.18	Professional		$16.92	$28.24	$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 $25.30 / $44.92 / $180.20	Facility		$25.30	$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 $9.14 / $13.79 / $32.84	Professional		$9.14	$13.79	$32.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $6.72 / $17.34	Professional		$6.72	$6.72	$17.34