Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.18 / $323.92 / $323.92	Facility		$195.18	$323.92	$323.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $121.00 / $1,120.00	Professional		$68.81	$121.00	$1,120.00
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 $200.00 / $471.60 / $603.75	Professional		$200.00	$471.60	$603.75
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 $118.94 / $148.68 / $152.18	Professional		$118.94	$148.68	$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 $331.46 / $331.46 / $331.46	Professional		$331.46	$331.46	$331.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $353.19 / $483.76 / $920.49	Facility		$353.19	$483.76	$920.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $471.60 / $471.60 / $471.60	Professional		$471.60	$471.60	$471.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $350.00 / $453.25	Professional		$350.00	$350.00	$453.25