Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $257.89 / $891.96	Facility		$152.16	$257.89	$891.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.17 / $152.16 / $239.58	Professional		$86.17	$152.16	$239.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $166.67 / $265.64 / $768.93	Facility		$166.67	$265.64	$768.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $121.41 / $307.57	Professional		$64.75	$121.41	$307.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.41 / $237.80 / $417.99	Facility		$49.41	$237.80	$417.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.51 / $166.35 / $232.31	Professional		$85.51	$166.35	$232.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.25 / $156.16 / $171.78	Professional		$115.25	$156.16	$171.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $161.88 / $161.88 / $357.35	Facility		$161.88	$161.88	$357.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.88 / $242.82 / $445.17	Facility		$161.88	$242.82	$445.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $145.69 / $145.69	Professional		$145.69	$145.69	$145.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $169.97 / $265.64 / $445.17	Facility		$169.97	$265.64	$445.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $161.88 / $436.53	Professional		$91.84	$161.88	$436.53
United Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $67.98 / $161.88	Professional		$41.58	$67.98	$161.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $72.84 / $83.85	Professional		$72.84	$72.84	$83.85