Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $340.50 / $957.17	Facility		$48.75	$340.50	$957.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $19.53 / $52.20	Professional		$13.58	$19.53	$52.20
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 $11.81 / $26.47 / $53.63	Professional		$11.81	$26.47	$53.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.19 / $9.50 / $62.34	Facility		$1.19	$9.50	$62.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.92 / $25.32 / $37.71	Professional		$14.92	$25.32	$37.71
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 / $40.29 / $159.47	Facility		$25.30	$40.29	$159.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $26.52 / $26.52	Professional		$26.52	$26.52	$26.52
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 $17.86 / $37.88 / $72.75	Professional		$17.86	$37.88	$72.75
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $12.28 / $29.23	Professional		$8.14	$12.28	$29.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $6.72 / $15.29	Professional		$6.72	$6.72	$15.29