Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.46 / $124.15 / $925.01	Facility		$43.46	$124.15	$925.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $43.47 / $43.47	Professional		$23.03	$43.47	$43.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $111.58 / $376.25 / $639.47	Facility		$111.58	$376.25	$639.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $29.11 / $97.01	Professional		$15.27	$29.11	$97.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $11.96 / $83.80	Facility		$1.58	$11.96	$83.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $31.80 / $50.12	Professional		$19.35	$31.80	$50.12
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 $44.55 / $53.51 / $213.32	Facility		$44.55	$53.51	$213.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $35.36 / $35.36	Professional		$35.36	$35.36	$35.36
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 $23.72 / $50.36 / $97.01	Professional		$23.72	$50.36	$97.01
United Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $16.37 / $38.97	Professional		$10.44	$16.37	$38.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.19 / $20.51	Professional		$11.19	$11.19	$20.51