Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.81 / $519.03 / $1,762.58	Facility		$265.81	$519.03	$1,762.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.90 / $306.25 / $306.25	Professional		$162.90	$306.25	$306.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $325.80 / $528.49 / $1,547.55	Facility		$325.80	$528.49	$1,547.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $250.21 / $505.00	Professional		$107.00	$250.21	$505.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.16 / $667.08 / $841.26	Facility		$250.16	$667.08	$841.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.62 / $334.45 / $467.72	Professional		$141.62	$334.45	$467.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $231.96 / $231.96 / $251.44	Professional		$231.96	$231.96	$251.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $325.80 / $342.09 / $719.20	Facility		$325.80	$342.09	$719.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $293.22 / $456.12 / $895.95	Facility		$293.22	$456.12	$895.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.55 / $342.09 / $462.64	Professional		$133.55	$342.09	$462.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $342.09 / $534.64 / $895.95	Facility		$342.09	$534.64	$895.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $142.69 / $325.80 / $879.34	Professional		$142.69	$325.80	$879.34
United Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $136.84 / $325.80	Professional		$66.59	$136.84	$325.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $146.61 / $146.61 / $168.76	Professional		$146.61	$146.61	$168.76