Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.30 / $408.43 / $734.85	Facility		$105.30	$408.43	$734.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.37 / $105.30 / $105.30	Professional		$59.37	$105.30	$105.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $117.62 / $183.82 / $532.10	Facility		$117.62	$183.82	$532.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $100.82 / $159.07	Professional		$6.91	$100.82	$159.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.50 / $229.35 / $289.24	Facility		$116.50	$229.35	$289.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $128.44 / $160.55	Professional		$128.44	$128.44	$160.55
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 $112.02 / $117.62 / $196.04	Facility		$112.02	$117.62	$196.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.02 / $168.03 / $308.06	Facility		$112.02	$168.03	$308.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.22 / $117.62 / $159.07	Professional		$95.22	$117.62	$159.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $117.62 / $183.82 / $308.06	Facility		$117.62	$183.82	$308.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.02 / $112.02 / $302.69	Professional		$84.02	$112.02	$302.69
United Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $47.05 / $112.02	Professional		$47.05	$47.05	$112.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $50.41 / $58.03	Professional		$50.41	$50.41	$58.03