Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.88 / $77.88 / $77.88	Facility		$77.88	$77.88	$77.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $56.00 / $80.11	Professional		$32.58	$56.00	$80.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $58.52 / $214.62 / $214.62	Facility		$58.52	$214.62	$214.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $71.56 / $122.46	Professional		$37.82	$71.56	$122.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.53 / $71.45 / $92.38	Professional		$52.53	$71.45	$92.38
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 $74.20 / $89.11 / $104.52	Facility		$74.20	$89.11	$104.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.52 / $71.56 / $71.56	Facility		$58.52	$71.56	$71.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $102.91 / $122.46	Professional		$64.93	$102.91	$122.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.81 / $129.81 / $129.81	Professional		$129.81	$129.81	$129.81
United Facility/Professional Professional Modifier Low / Median / High Price $67.05 / $90.86 / $146.66	Professional		$67.05	$90.86	$146.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $47.65 / $47.65	Professional		$47.65	$47.65	$47.65