Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.74 / $66.56 / $140.52	Facility		$37.74	$66.56	$140.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $80.88 / $201.00	Professional		$66.56	$80.88	$201.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $69.20 / $72.70 / $272.63	Facility		$69.20	$72.70	$272.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $69.20 / $76.34	Professional		$69.06	$69.20	$76.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.36 / $70.36 / $227.12	Facility		$70.36	$70.36	$227.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $70.36 / $70.36	Professional		$70.36	$70.36	$70.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $52.14 / $130.35	Professional		$2.67	$52.14	$130.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $56.56 / $57.00	Facility		$56.56	$56.56	$57.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.70 / $72.70 / $72.70	Facility		$72.70	$72.70	$72.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $69.06 / $76.34	Professional		$58.89	$69.06	$76.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $69.20 / $69.20 / $69.20	Facility		$69.20	$69.20	$69.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $69.20 / $69.20	Professional		$69.20	$69.20	$69.20
United Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $71.98 / $76.58	Professional		$63.70	$71.98	$76.58