Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.43 / $298.37 / $489.05	Facility		$60.43	$298.37	$489.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.10 / $265.91 / $728.66	Professional		$228.10	$265.91	$728.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $255.96 / $268.35 / $1,006.31	Facility		$255.96	$268.35	$1,006.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $254.93 / $255.96 / $284.39	Professional		$254.93	$255.96	$284.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.58 / $265.58 / $742.56	Facility		$265.58	$265.58	$742.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.58 / $265.58 / $265.58	Professional		$265.58	$265.58	$265.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $170.75 / $426.87	Professional		$2.67	$170.75	$426.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $187.04 / $187.04 / $187.04	Facility		$187.04	$187.04	$187.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.35 / $268.35 / $268.35	Facility		$268.35	$268.35	$268.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.36 / $254.93 / $281.77	Professional		$217.36	$254.93	$281.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $255.96 / $255.96 / $255.96	Facility		$255.96	$255.96	$255.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $255.96 / $255.96 / $255.96	Professional		$255.96	$255.96	$255.96
United Facility/Professional Professional Modifier Low / Median / High Price $237.13 / $267.95 / $284.56	Professional		$237.13	$267.95	$284.56