Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.63 / $132.63 / $132.63	Facility		$132.63	$132.63	$132.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.19 / $85.88 / $121.56	Professional		$58.19	$85.88	$121.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $98.84 / $346.65 / $346.65	Facility		$98.84	$346.65	$346.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $111.60 / $191.00	Professional		$64.11	$111.60	$191.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.52 / $108.98 / $157.32	Professional		$79.52	$108.98	$157.32
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 $115.31 / $150.85 / $159.46	Facility		$115.31	$150.85	$159.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.84 / $108.72 / $108.72	Facility		$98.84	$108.72	$108.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.72 / $171.00 / $206.82	Professional		$108.72	$171.00	$206.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $198.43 / $198.43 / $198.43	Professional		$198.43	$198.43	$198.43
United Facility/Professional Professional Modifier Low / Median / High Price $106.65 / $137.46 / $223.20	Professional		$106.65	$137.46	$223.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $80.83 / $80.83	Professional		$80.83	$80.83	$80.83