Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.05 / $60.92 / $111.34	Facility		$45.05	$60.92	$111.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $69.22 / $90.00	Professional		$69.20	$69.22	$90.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $96.54 / $139.01 / $231.69	Facility		$96.54	$139.01	$231.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $81.43 / $114.87	Professional		$77.36	$81.43	$114.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.14 / $76.14 / $152.28	Facility		$76.14	$76.14	$152.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Professional		$76.14	$76.14	$76.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $77.36 / $193.40	Professional		$67.23	$77.36	$193.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.36 / $77.36 / $77.36	Facility		$77.36	$77.36	$77.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.79 / $146.57 / $223.93	Facility		$101.79	$146.57	$223.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $77.36 / $85.50	Professional		$65.95	$77.36	$85.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $96.54 / $115.85 / $220.11	Facility		$96.54	$115.85	$220.11
United Facility/Professional Facility Modifier Low / Median / High Price $81.43 / $81.43 / $81.43	Facility		$81.43	$81.43	$81.43
United Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $87.42 / $92.83	Professional		$77.36	$87.42	$92.83