Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.89 / $454.08 / $1,570.52	Facility		$217.89	$454.08	$1,570.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $267.93 / $421.84	Professional		$121.00	$267.93	$421.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $285.02 / $467.73 / $1,353.89	Facility		$285.02	$467.73	$1,353.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $213.77 / $462.72	Professional		$114.01	$213.77	$462.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $418.71 / $735.99	Facility		$69.34	$418.71	$735.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.09 / $292.69 / $409.39	Professional		$120.09	$292.69	$409.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.94 / $274.97 / $302.46	Professional		$202.94	$274.97	$302.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $285.02 / $285.02 / $629.20	Facility		$285.02	$285.02	$629.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $256.52 / $427.54 / $783.83	Facility		$256.52	$427.54	$783.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.52 / $256.52 / $256.52	Professional		$256.52	$256.52	$256.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $299.27 / $467.73 / $783.83	Facility		$299.27	$467.73	$783.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.97 / $285.02 / $768.86	Professional		$128.97	$285.02	$768.86
United Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $119.71 / $285.02	Professional		$58.38	$119.71	$285.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.26 / $128.26 / $147.65	Professional		$128.26	$128.26	$147.65