Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.43 / $135.43 / $135.43	Facility		$135.43	$135.43	$135.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.07 / $84.05 / $121.68	Professional		$59.07	$84.05	$121.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.57 / $354.23 / $354.23	Facility		$100.57	$354.23	$354.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $65.58 / $113.14 / $193.04	Professional		$65.58	$113.14	$193.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.28 / $102.96 / $160.65	Professional		$75.28	$102.96	$160.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $180.31 / $292.41	Professional		$26.86	$180.31	$292.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $108.53 / $149.60 / $156.11	Facility		$108.53	$149.60	$156.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.57 / $100.57 / $101.01	Facility		$100.57	$100.57	$101.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.01 / $177.62 / $194.83	Professional		$101.01	$177.62	$194.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.90 / $181.90 / $181.90	Professional		$181.90	$181.90	$181.90
United Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $128.18 / $212.83	Professional		$98.55	$128.18	$212.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $82.07 / $82.07	Professional		$82.07	$82.07	$82.07