Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.58 / $691.11 / $1,501.76	Facility		$303.58	$691.11	$1,501.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.32 / $303.58 / $691.11	Professional		$271.32	$303.58	$691.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $339.11 / $565.17 / $1,534.06	Facility		$339.11	$565.17	$1,534.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $159.49 / $299.62 / $524.46	Professional		$159.49	$299.62	$524.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.03 / $661.25 / $944.64	Facility		$340.03	$661.25	$944.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.66 / $370.87 / $463.59	Professional		$224.66	$370.87	$463.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.94 / $229.94 / $249.24	Professional		$229.94	$229.94	$249.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $322.95 / $712.93	Facility		$322.95	$322.95	$712.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $484.44 / $888.14	Facility		$322.95	$484.44	$888.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.66 / $373.94 / $458.60	Professional		$290.66	$373.94	$458.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $371.40 / $532.88 / $888.14	Facility		$371.40	$532.88	$888.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $242.22 / $322.95 / $871.25	Professional		$242.22	$322.95	$871.25
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $145.33 / $322.95	Professional		$135.63	$145.33	$322.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $145.33 / $145.33 / $167.29	Professional		$145.33	$145.33	$167.29