Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $301.91 / $1,044.20	Facility		$49.68	$301.91	$1,044.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $106.13 / $178.14	Professional		$46.13	$106.13	$178.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $311.02 / $900.17	Facility		$189.51	$311.02	$900.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $49.90 / $142.13 / $307.54	Professional		$49.90	$142.13	$307.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.19 / $278.39 / $489.33	Facility		$36.19	$278.39	$489.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.38 / $194.54 / $272.06	Professional		$67.38	$194.54	$272.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.92 / $182.82 / $201.10	Professional		$134.92	$182.82	$201.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $189.51 / $418.34	Facility		$189.51	$189.51	$418.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.56 / $284.27 / $521.15	Facility		$170.56	$284.27	$521.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.56 / $170.56 / $170.56	Professional		$170.56	$170.56	$170.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $198.99 / $310.99 / $521.15	Facility		$198.99	$310.99	$521.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $189.51 / $511.08	Professional		$66.65	$189.51	$511.08
United Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $79.59 / $189.51	Professional		$30.19	$79.59	$189.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $85.28 / $98.17	Professional		$85.28	$85.28	$98.17