Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $373.41 / $373.41	Facility		$225.00	$373.41	$373.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $362.81 / $739.20	Professional		$225.00	$362.81	$739.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $289.37 / $484.04 / $936.42	Facility		$289.37	$484.04	$936.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $488.05 / $919.00	Professional		$133.00	$488.05	$919.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.25 / $333.21 / $476.01	Facility		$169.25	$333.21	$476.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $130.61 / $152.18	Professional		$104.49	$130.61	$152.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $258.00 / $413.00 / $687.88	Facility		$258.00	$413.00	$687.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $565.15 / $565.15 / $565.15	Professional		$565.15	$565.15	$565.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $313.88 / $484.04 / $920.49	Facility		$313.88	$484.04	$920.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $488.05 / $488.05 / $488.05	Professional		$488.05	$488.05	$488.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $647.50	Professional		$500.00	$500.00	$647.50