Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.34 / $211.34 / $211.34	Facility		$211.34	$211.34	$211.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.81 / $225.00 / $396.94	Professional		$210.81	$225.00	$396.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $223.77 / $228.16 / $855.60	Facility		$223.77	$228.16	$855.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $216.75 / $223.77 / $248.63	Professional		$216.75	$223.77	$248.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.20 / $232.20 / $598.60	Facility		$232.20	$232.20	$598.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Professional		$232.20	$232.20	$232.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $50.00 / $235.78	Professional		$2.67	$50.00	$235.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $160.02 / $160.02 / $160.02	Facility		$160.02	$160.02	$160.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.16 / $228.16 / $228.16	Facility		$228.16	$228.16	$228.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.81 / $216.75 / $239.57	Professional		$184.81	$216.75	$239.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $223.77 / $223.77 / $223.77	Facility		$223.77	$223.77	$223.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.77 / $223.77 / $223.77	Professional		$223.77	$223.77	$223.77
United Facility/Professional Professional Modifier Low / Median / High Price $207.32 / $234.27 / $248.78	Professional		$207.32	$234.27	$248.78