Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $17.55 / $153.99	Facility		$10.58	$17.55	$153.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $20.00 / $191.76	Professional		$10.58	$20.00	$191.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $119.37 / $168.65 / $297.08	Facility		$119.37	$168.65	$297.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $43.12 / $195.29	Professional		$11.75	$43.12	$195.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $105.71 / $151.02	Facility		$53.70	$105.71	$151.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $23.75 / $152.18	Professional		$19.00	$23.75	$152.18
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 $99.97 / $99.97 / $99.97	Professional		$99.97	$99.97	$99.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $117.30 / $156.49 / $292.02	Facility		$117.30	$156.49	$292.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $32.38	Professional		$25.00	$25.00	$32.38