Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.97 / $268.55 / $691.51	Facility		$117.97	$268.55	$691.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $97.12 / $197.81	Professional		$66.51	$97.12	$197.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $131.78 / $251.00 / $596.13	Facility		$131.78	$251.00	$596.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $114.21 / $216.55	Professional		$61.98	$114.21	$216.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.02 / $227.60 / $367.11	Facility		$86.02	$227.60	$367.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.25 / $144.13 / $199.99	Professional		$78.25	$144.13	$199.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.36 / $121.07 / $133.17	Professional		$89.36	$121.07	$133.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $131.78 / $277.04	Facility		$125.50	$131.78	$277.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $188.25 / $345.13	Facility		$125.50	$188.25	$345.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.95 / $112.95 / $112.95	Professional		$112.95	$112.95	$112.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $144.33 / $207.08 / $345.13	Facility		$144.33	$207.08	$345.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $125.50 / $338.62	Professional		$94.13	$125.50	$338.62
United Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $52.71 / $140.56	Professional		$52.71	$52.71	$140.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.48 / $56.48 / $65.01	Professional		$56.48	$56.48	$65.01