Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.82 / $1,770.35 / $2,718.34	Facility		$536.82	$1,770.35	$2,718.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.78 / $201.78 / $323.61	Professional		$201.78	$201.78	$323.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $399.76 / $624.76 / $1,808.42	Facility		$399.76	$624.76	$1,808.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $230.33 / $342.65 / $743.54	Professional		$230.33	$342.65	$743.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.95 / $779.53 / $983.07	Facility		$395.95	$779.53	$983.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.37 / $437.37 / $546.71	Professional		$437.37	$437.37	$546.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $342.65 / $418.79 / $666.26	Facility		$342.65	$418.79	$666.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.72 / $571.08 / $1,046.98	Facility		$380.72	$571.08	$1,046.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.61 / $399.76 / $540.62	Professional		$323.61	$399.76	$540.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $399.76 / $624.76 / $1,046.98	Facility		$399.76	$624.76	$1,046.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $285.54 / $380.72 / $1,027.54	Professional		$285.54	$380.72	$1,027.54
United Facility/Professional Professional Modifier Low / Median / High Price $159.90 / $159.90 / $380.72	Professional		$159.90	$159.90	$380.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $171.32 / $171.32 / $197.21	Professional		$171.32	$171.32	$197.21