Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.56 / $161.91 / $161.91	Facility		$97.56	$161.91	$161.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $97.56 / $139.38	Professional		$21.00	$97.56	$139.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $117.30 / $160.40 / $297.08	Facility		$117.30	$160.40	$297.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $49.02 / $110.66	Professional		$32.40	$49.02	$110.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.19 / $105.71 / $151.02	Facility		$50.19	$105.71	$151.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.78 / $78.47 / $98.40	Professional		$62.78	$78.47	$98.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $131.00 / $238.03	Facility		$82.00	$131.00	$238.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.91 / $150.91 / $150.91	Professional		$150.91	$150.91	$150.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $99.58 / $153.47 / $292.02	Facility		$99.58	$153.47	$292.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $34.81 / $34.81	Professional		$30.32	$34.81	$34.81
United Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $14.88	Professional		$14.88	$14.88	$14.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $32.40 / $41.96	Professional		$32.40	$32.40	$41.96