Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $164.74 / $343.30	Facility		$76.70	$164.74	$343.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $76.70 / $209.66	Professional		$69.73	$76.70	$209.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $138.91 / $350.53	Facility		$69.73	$138.91	$350.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $80.19 / $115.05	Professional		$69.73	$80.19	$115.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.78 / $65.78 / $159.00	Facility		$65.78	$65.78	$159.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $95.63	Professional		$69.73	$69.73	$95.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $76.70 / $90.60	Professional		$62.75	$76.70	$90.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $87.16 / $209.19	Facility		$69.73	$87.16	$209.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.11 / $93.61 / $182.77	Facility		$73.11	$93.61	$182.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.12 / $93.38 / $153.52	Professional		$86.12	$93.38	$153.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $69.73 / $82.88	Facility		$69.73	$69.73	$82.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $80.19	Professional		$69.73	$69.73	$80.19
United Facility/Professional Professional Modifier Low / Median / High Price $59.27 / $69.73 / $69.73	Professional		$59.27	$69.73	$69.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $69.73	Professional		$69.73	$69.73	$69.73