Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.76 / $333.47 / $1,153.34	Facility		$196.76	$333.47	$1,153.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.22 / $196.76 / $309.79	Professional		$117.22	$196.76	$309.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $219.79 / $366.31 / $994.27	Facility		$219.79	$366.31	$994.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $156.99 / $397.71	Professional		$83.73	$156.99	$397.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.83 / $307.50 / $540.50	Facility		$90.83	$307.50	$540.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.61 / $225.95 / $300.45	Professional		$110.61	$225.95	$300.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.03 / $201.93 / $222.12	Professional		$149.03	$201.93	$222.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $209.32 / $219.79 / $462.07	Facility		$209.32	$219.79	$462.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.32 / $313.98 / $575.63	Facility		$209.32	$313.98	$575.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.39 / $188.39 / $188.39	Professional		$188.39	$188.39	$188.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $235.87 / $343.49 / $575.63	Facility		$235.87	$343.49	$575.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $156.99 / $209.32 / $564.97	Professional		$156.99	$209.32	$564.97
United Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $87.91 / $209.32	Professional		$76.20	$87.91	$209.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.19 / $94.19 / $108.43	Professional		$94.19	$94.19	$108.43