Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.42 / $510.19 / $510.19	Facility		$307.42	$510.19	$510.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.99 / $240.00 / $421.83	Professional		$203.99	$240.00	$421.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $119.37 / $168.65 / $297.08	Facility		$119.37	$168.65	$297.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $120.99 / $400.00 / $735.20	Professional		$120.99	$400.00	$735.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $105.71 / $151.02	Facility		$53.70	$105.71	$151.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.18 / $254.00 / $317.49	Professional		$152.18	$254.00	$317.49
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 $82.00 / $131.00 / $238.03	Facility		$82.00	$131.00	$238.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.12 / $448.12 / $448.12	Professional		$448.12	$448.12	$448.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $117.30 / $156.49 / $292.02	Facility		$117.30	$156.49	$292.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $483.70 / $483.70 / $483.70	Professional		$483.70	$483.70	$483.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $518.00	Professional		$400.00	$400.00	$518.00