Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $93.18 / $114.73	Facility		$58.00	$93.18	$114.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $60.68 / $82.76	Professional		$55.16	$60.68	$82.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $85.05 / $236.62	Facility		$51.74	$85.05	$236.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $55.16 / $64.20	Professional		$52.95	$55.16	$64.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $52.04 / $107.18	Facility		$52.04	$52.04	$107.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $55.16 / $67.65	Professional		$54.60	$55.16	$67.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.13 / $58.82 / $58.82	Professional		$48.13	$58.82	$58.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.15 / $62.45 / $165.48	Facility		$55.15	$62.45	$165.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $51.74 / $56.63	Facility		$51.74	$51.74	$56.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $58.14 / $98.49	Professional		$51.74	$58.14	$98.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $55.16 / $65.56	Facility		$55.16	$55.16	$65.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $63.43	Professional		$55.16	$55.16	$63.43
United Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $55.16 / $55.16	Professional		$22.06	$55.16	$55.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $55.16	Professional		$55.16	$55.16	$55.16