Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.51 / $295.54 / $817.74	Facility		$139.51	$295.54	$817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $139.51 / $236.43	Professional		$78.65	$139.51	$236.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $155.83 / $289.39 / $704.95	Facility		$155.83	$289.39	$704.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $135.05 / $256.14	Professional		$73.29	$135.05	$256.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.06 / $269.14 / $434.12	Facility		$102.06	$269.14	$434.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $170.57 / $268.47	Professional		$92.63	$170.57	$268.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.66 / $143.16 / $157.48	Professional		$105.66	$143.16	$157.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $148.41 / $155.83 / $327.62	Facility		$148.41	$155.83	$327.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.41 / $222.62 / $408.13	Facility		$148.41	$222.62	$408.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.57 / $133.57 / $133.57	Professional		$133.57	$133.57	$133.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $170.67 / $244.88 / $408.13	Facility		$170.67	$244.88	$408.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.31 / $148.41 / $400.60	Professional		$111.31	$148.41	$400.60
United Facility/Professional Facility Modifier Low / Median / High Price $148.41 / $178.09 / $178.09	Facility		$148.41	$178.09	$178.09
United Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $62.33 / $148.41	Professional		$62.33	$62.33	$148.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $66.78 / $76.88	Professional		$66.78	$66.78	$76.88