Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.98 / $150.99 / $191.14	Facility		$90.98	$150.99	$191.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $105.00 / $282.00	Professional		$81.51	$105.00	$282.00
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 $33.32 / $50.41 / $149.72	Professional		$33.32	$50.41	$149.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $113.34 / $151.02	Facility		$53.70	$113.34	$151.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.61 / $105.73 / $132.16	Professional		$90.61	$105.73	$132.16
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 $240.83 / $240.83 / $240.83	Professional		$240.83	$240.83	$240.83
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
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $33.32 / $43.15	Professional		$33.32	$33.32	$43.15