Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.11 / $765.15 / $1,877.19	Facility		$336.11	$765.15	$1,877.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.30 / $336.11 / $765.15	Professional		$300.30	$336.11	$765.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $375.44 / $625.73 / $1,698.41	Facility		$375.44	$625.73	$1,698.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $176.57 / $331.72 / $600.91	Professional		$176.57	$331.72	$600.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.91 / $732.09 / $1,045.84	Facility		$363.91	$732.09	$1,045.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.77 / $410.94 / $513.66	Professional		$248.77	$410.94	$513.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $254.58 / $254.58 / $275.95	Professional		$254.58	$254.58	$275.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $357.56 / $375.44 / $789.31	Facility		$357.56	$375.44	$789.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $357.56 / $536.34 / $983.29	Facility		$357.56	$536.34	$983.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.80 / $414.01 / $507.74	Professional		$321.80	$414.01	$507.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $411.19 / $589.97 / $983.29	Facility		$411.19	$589.97	$983.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $268.17 / $357.56 / $964.67	Professional		$268.17	$357.56	$964.67
United Facility/Professional Professional Modifier Low / Median / High Price $150.18 / $150.18 / $400.47	Professional		$150.18	$150.18	$400.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $160.90 / $160.90 / $185.22	Professional		$160.90	$160.90	$185.22