Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.33 / $297.33 / $297.33	Facility		$297.33	$297.33	$297.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.33 / $297.33 / $297.33	Professional		$297.33	$297.33	$297.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $297.00 / $594.00 / $1,155.00	Facility		$297.00	$594.00	$1,155.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $297.00 / $297.00 / $349.80	Professional		$297.00	$297.00	$349.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.48 / $326.48 / $1,008.00	Facility		$326.48	$326.48	$1,008.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Professional		$326.48	$326.48	$326.48
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 $2.75 / $2.75 / $2.75	Facility		$2.75	$2.75	$2.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.50 / $594.00 / $907.50	Facility		$412.50	$594.00	$907.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.30 / $313.50 / $346.50	Professional		$267.30	$313.50	$346.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $297.00 / $297.00 / $297.00	Facility		$297.00	$297.00	$297.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $297.00 / $297.00 / $297.00	Professional		$297.00	$297.00	$297.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.25 / $339.28 / $360.30	Professional		$300.25	$339.28	$360.30