Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.01 / $93.58 / $196.32	Facility		$66.01	$93.58	$196.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.19 / $98.15 / $123.68	Professional		$64.19	$98.15	$123.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $87.89 / $119.06 / $220.71	Facility		$87.89	$119.06	$220.71
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 / $210.28	Facility		$96.58	$96.58	$210.28
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 $83.49 / $98.16 / $208.72	Professional		$83.49	$98.16	$208.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $73.40 / $83.50 / $173.29	Facility		$73.40	$83.50	$173.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $139.07 / $212.47	Facility		$96.58	$139.07	$212.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $83.50 / $92.28	Professional		$71.19	$83.50	$92.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $91.96 / $110.36 / $147.13	Facility		$91.96	$110.36	$147.13
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 Professional Modifier Low / Median / High Price $86.23 / $97.44 / $103.48	Professional		$86.23	$97.44	$103.48