Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.46 / $360.90 / $360.90	Facility		$217.46	$360.90	$360.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.51 / $103.97 / $360.90	Professional		$94.51	$103.97	$360.90
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 $69.75 / $225.00 / $413.55	Professional		$69.75	$225.00	$413.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.48 / $333.21 / $476.01	Facility		$108.48	$333.21	$476.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.18 / $152.18 / $152.18	Professional		$152.18	$152.18	$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 $294.75 / $294.75 / $294.75	Professional		$294.75	$294.75	$294.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $313.88 / $484.04 / $920.49	Facility		$313.88	$484.04	$920.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $291.38	Professional		$225.00	$225.00	$291.38