Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.30 / $93.28 / $93.28	Professional		$52.30	$93.28	$93.28
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.81 / $22.81 / $22.81	Professional	52	$22.81	$22.81	$22.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $106.30 / $216.39	Professional		$47.35	$106.30	$216.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $90.00	Professional		$55.95	$55.95	$90.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $97.33 / $175.33	Professional		$17.95	$97.33	$175.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.03 / $142.63 / $184.60	Professional		$90.03	$142.63	$184.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.68 / $96.90 / $184.86	Professional		$59.68	$96.90	$184.86
United Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $35.51 / $74.56	Professional		$30.43	$35.51	$74.56