Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.62 / $666.53 / $666.53	Facility		$401.62	$666.53	$666.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.39 / $400.00 / $598.45	Professional		$289.39	$400.00	$598.45
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 $42.34 / $194.00 / $716.05	Professional		$42.34	$194.00	$716.05
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 $152.18 / $280.01 / $350.02	Professional		$152.18	$280.01	$350.02
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 $703.85 / $703.85 / $703.85	Professional		$703.85	$703.85	$703.85
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 $857.86 / $857.86 / $857.86	Professional		$857.86	$857.86	$857.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $42.34 / $54.83	Professional		$42.34	$42.34	$54.83