Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.84 / $436.94 / $535.04	Facility		$228.84	$436.94	$535.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.62 / $375.24 / $920.14	Professional		$255.62	$375.24	$920.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $332.08 / $355.28 / $1,293.33	Facility		$332.08	$355.28	$1,293.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $350.53 / $355.28 / $394.76	Professional		$350.53	$355.28	$394.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.58 / $368.58 / $917.80	Facility		$368.58	$368.58	$917.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.58 / $368.58 / $368.58	Professional		$368.58	$368.58	$368.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $268.77 / $671.92	Professional		$2.67	$268.77	$671.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $287.52 / $287.52 / $287.52	Facility		$287.52	$287.52	$287.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $368.98 / $368.98 / $368.98	Facility		$368.98	$368.98	$368.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.87 / $350.53 / $387.43	Professional		$298.87	$350.53	$387.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $355.28 / $355.28 / $355.28	Facility		$355.28	$355.28	$355.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $355.28 / $355.28 / $355.28	Professional		$355.28	$355.28	$355.28
United Facility/Professional Professional Modifier Low / Median / High Price $329.09 / $371.87 / $394.91	Professional		$329.09	$371.87	$394.91