Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.12 / $221.04 / $237.96	Facility		$133.12	$221.04	$237.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.15 / $134.83 / $209.41	Professional		$121.15	$134.83	$209.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $142.76 / $151.13 / $566.78	Facility		$142.76	$151.13	$566.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $142.76 / $142.76 / $158.69	Professional		$142.76	$142.76	$158.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.32 / $148.32 / $452.48	Facility		$148.32	$148.32	$452.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.32 / $148.32 / $148.32	Professional		$148.32	$148.32	$148.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $130.93 / $245.25	Professional		$98.10	$130.93	$245.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $129.25 / $155.25 / $157.44	Facility		$129.25	$155.25	$157.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.13 / $151.13 / $151.13	Facility		$151.13	$151.13	$151.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.42 / $143.58 / $158.69	Professional		$122.42	$143.58	$158.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $142.76 / $142.76 / $142.76	Facility		$142.76	$142.76	$142.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $142.76 / $142.76 / $142.76	Professional		$142.76	$142.76	$142.76
United Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $149.65 / $158.91	Professional		$132.43	$149.65	$158.91