Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.66 / $289.10 / $912.51	Facility		$155.66	$289.10	$912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.54 / $155.66 / $289.10	Professional		$104.54	$155.66	$289.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $173.89 / $289.82 / $786.65	Facility		$173.89	$289.82	$786.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $149.05 / $314.66	Professional		$66.72	$149.05	$314.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.37 / $245.01 / $433.64	Facility		$89.37	$245.01	$433.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.06 / $190.39 / $291.30	Professional		$96.06	$190.39	$291.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.91 / $159.76 / $175.73	Professional		$117.91	$159.76	$175.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.61 / $182.17 / $365.58	Facility		$165.61	$182.17	$365.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.61 / $248.42 / $455.43	Facility		$165.61	$248.42	$455.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.05 / $149.05 / $149.05	Professional		$149.05	$149.05	$149.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $190.45 / $271.77 / $455.43	Facility		$190.45	$271.77	$455.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $165.61 / $447.30	Professional		$124.21	$165.61	$447.30
United Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $69.56 / $165.61	Professional		$69.56	$69.56	$165.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $74.52 / $85.79	Professional		$74.52	$74.52	$85.79