Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.45 / $143.56 / $395.74	Facility		$69.45	$143.56	$395.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.49 / $98.16 / $142.33	Professional		$83.49	$98.16	$142.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $79.09 / $115.76 / $172.34	Facility		$79.09	$115.76	$172.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $79.09 / $103.33	Professional		$79.09	$79.09	$103.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $215.40	Facility		$96.58	$96.58	$215.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $50.00	Professional		$30.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $94.52 / $173.28	Facility		$83.49	$94.52	$173.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.74 / $112.81 / $203.68	Facility		$87.74	$112.81	$203.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $83.49 / $92.27	Professional		$71.18	$83.49	$92.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $79.09 / $115.76 / $126.80	Facility		$79.09	$115.76	$126.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $79.09 / $79.09	Professional		$79.09	$79.09	$79.09
United Facility/Professional Facility Modifier Low / Median / High Price $196.20 / $196.20 / $196.20	Facility		$196.20	$196.20	$196.20
United Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $97.44 / $103.48	Professional		$86.23	$97.44	$103.48