Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.77 / $110.05 / $204.17	Facility		$66.77	$110.05	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $98.16 / $123.68	Professional		$50.00	$98.16	$123.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $79.09 / $87.89 / $131.84	Facility		$79.09	$87.89	$131.84
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 / $164.32	Facility		$96.58	$96.58	$164.32
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 $50.00 / $83.49 / $208.72	Professional		$50.00	$83.49	$208.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.77 / $86.65 / $173.29	Facility		$78.77	$86.65	$173.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.89 / $87.89 / $87.89	Facility		$87.89	$87.89	$87.89
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 $79.09 / $79.09 / $103.08	Facility		$79.09	$79.09	$103.08
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 $98.16 / $110.92 / $117.79	Professional		$98.16	$110.92	$117.79