Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.99 / $84.99 / $84.99	Facility		$84.99	$84.99	$84.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $55.94 / $79.56	Professional		$33.94	$55.94	$79.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $63.72 / $222.53 / $222.53	Facility		$63.72	$222.53	$222.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $71.70 / $123.14	Professional		$41.20	$71.70	$123.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.18 / $70.98 / $100.81	Professional		$52.18	$70.98	$100.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.79 / $54.98 / $97.92	Professional		$8.79	$54.98	$97.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $97.13 / $103.85	Facility		$75.09	$97.13	$103.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.72 / $70.67 / $70.67	Facility		$63.72	$70.67	$70.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.67 / $111.15 / $133.34	Professional		$70.67	$111.15	$133.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.97 / $128.97 / $128.97	Professional		$128.97	$128.97	$128.97
United Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $86.24 / $148.31	Professional		$67.50	$86.24	$148.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.81 / $51.81 / $51.81	Professional		$51.81	$51.81	$51.81