Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.17 / $1,303.92 / $2,346.05	Facility		$336.17	$1,303.92	$2,346.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $336.17 / $336.17	Professional		$4.78	$336.17	$336.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $375.51 / $586.87 / $1,698.74	Facility		$375.51	$586.87	$1,698.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $321.87 / $698.52	Professional		$4.25	$321.87	$698.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.94 / $732.25 / $923.45	Facility		$371.94	$732.25	$923.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.94 / $410.94 / $513.66	Professional		$410.94	$410.94	$513.66
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 $321.87 / $393.39 / $625.85	Facility		$321.87	$393.39	$625.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.63 / $536.44 / $983.48	Facility		$357.63	$536.44	$983.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.99 / $375.51 / $507.83	Professional		$303.99	$375.51	$507.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $375.51 / $586.87 / $983.48	Facility		$375.51	$586.87	$983.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $268.22 / $357.63 / $964.67	Professional		$268.22	$357.63	$964.67
United Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $150.19 / $357.63	Professional		$150.19	$150.19	$357.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $160.93 / $160.93 / $185.25	Professional		$160.93	$160.93	$185.25