Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $96.86 / $335.01	Facility		$25.81	$96.86	$335.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $57.15 / $89.98	Professional		$11.11	$57.15	$89.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $97.28 / $288.80	Facility		$60.80	$97.28	$288.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $45.60 / $115.52	Professional		$10.70	$45.60	$115.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $89.32 / $156.99	Facility		$8.30	$89.32	$156.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $45.53 / $87.25	Professional		$15.34	$45.53	$87.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $58.65 / $64.51	Professional		$43.28	$58.65	$64.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $60.80 / $134.22	Facility		$60.80	$60.80	$134.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.72 / $91.20 / $167.20	Facility		$54.72	$91.20	$167.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.72 / $54.72 / $54.72	Professional		$54.72	$54.72	$54.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.84 / $99.77 / $167.20	Facility		$63.84	$99.77	$167.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $60.80 / $164.37	Professional		$15.29	$60.80	$164.37
United Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $25.54 / $60.80	Professional		$6.93	$25.54	$60.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $27.36 / $31.49	Professional		$27.36	$27.36	$31.49