Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.39 / $515.77 / $1,751.49	Facility		$292.39	$515.77	$1,751.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.21 / $161.88 / $304.33	Professional		$88.21	$161.88	$304.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $323.75 / $525.16 / $1,537.81	Facility		$323.75	$525.16	$1,537.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $117.72 / $248.64 / $502.00	Professional		$117.72	$248.64	$502.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.76 / $662.89 / $835.97	Facility		$232.76	$662.89	$835.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.78 / $332.36 / $465.14	Professional		$155.78	$332.36	$465.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $230.51 / $230.51 / $249.85	Professional		$230.51	$230.51	$249.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.75 / $323.75 / $714.68	Facility		$323.75	$323.75	$714.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $321.14 / $453.25 / $890.31	Facility		$321.14	$453.25	$890.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.91 / $339.94 / $459.72	Professional		$146.91	$339.94	$459.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $339.94 / $531.27 / $890.31	Facility		$339.94	$531.27	$890.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $156.96 / $323.75 / $873.95	Professional		$156.96	$323.75	$873.95
United Facility/Professional Facility Modifier Low / Median / High Price $323.75 / $388.50 / $388.50	Facility		$323.75	$388.50	$388.50
United Facility/Professional Professional Modifier Low / Median / High Price $73.25 / $135.97 / $323.75	Professional		$73.25	$135.97	$323.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $145.69 / $167.70	Professional		$145.69	$145.69	$167.70