Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.53 / $115.53 / $348.90	Facility		$115.53	$115.53	$348.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $115.53 / $115.53	Professional		$39.20	$115.53	$115.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $329.19 / $426.26 / $639.47	Facility		$329.19	$426.26	$639.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $93.65 / $198.17	Professional		$42.05	$93.65	$198.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $32.00 / $162.33	Facility		$4.19	$32.00	$162.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $84.25 / $133.49	Professional		$53.14	$84.25	$133.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $84.50	Professional		$40.00	$40.00	$84.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $142.03 / $413.00	Facility		$69.00	$142.03	$413.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.65 / $93.65 / $93.65	Professional		$93.65	$93.65	$93.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $298.27 / $484.04 / $920.49	Facility		$298.27	$484.04	$920.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $62.96 / $133.97 / $256.89	Professional		$62.96	$133.97	$256.89
United Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $43.35 / $103.22	Professional		$27.82	$43.35	$103.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $21.18 / $54.45	Professional		$21.18	$21.18	$54.45