Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $12.69 / $17.55	Facility		$10.58	$12.69	$17.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $20.00 / $583.20	Professional		$10.58	$20.00	$583.20
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 $150.00 / $275.70 / $347.50	Professional		$150.00	$275.70	$347.50
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 / $204.44 / $255.54	Professional		$152.18	$204.44	$255.54
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 $302.77 / $302.77 / $302.77	Professional		$302.77	$302.77	$302.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $347.50 / $483.76 / $920.49	Facility		$347.50	$483.76	$920.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $347.50 / $347.50 / $347.50	Professional		$347.50	$347.50	$347.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $194.25	Professional		$150.00	$150.00	$194.25