Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $84.49 / $156.44	Facility		$84.49	$84.49	$156.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $84.49 / $244.00	Professional		$84.48	$84.49	$244.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $124.83 / $165.38 / $298.61	Facility		$124.83	$165.38	$298.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $94.43 / $132.84 / $132.84	Professional		$94.43	$132.84	$132.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.77 / $92.77 / $341.68	Facility		$92.77	$92.77	$341.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Professional		$92.77	$92.77	$92.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $50.00	Professional		$30.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $198.19 / $201.00	Facility		$165.00	$198.19	$201.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.85 / $165.38 / $252.67	Facility		$114.85	$165.38	$252.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $94.43 / $104.37	Professional		$80.51	$94.43	$104.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $125.80 / $149.79 / $269.11	Facility		$125.80	$149.79	$269.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $132.84 / $132.84 / $132.84	Professional		$132.84	$132.84	$132.84
United Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $93.60 / $130.53	Professional		$82.83	$93.60	$130.53