Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.66 / $104.67 / $104.67	Facility		$62.66	$104.67	$104.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.12 / $328.07	Professional		$100.00	$125.12	$328.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.30 / $128.47 / $305.89	Facility		$80.30	$128.47	$305.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $110.83 / $110.83 / $124.35	Professional		$110.83	$110.83	$124.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.68 / $115.07 / $371.36	Facility		$110.68	$115.07	$371.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Professional		$115.07	$115.07	$115.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $6.67 / $50.00	Professional		$2.67	$6.67	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $90.09 / $127.50 / $129.31	Facility		$90.09	$127.50	$129.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.75 / $207.00 / $373.75	Facility		$143.75	$207.00	$373.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.93 / $112.51 / $124.35	Professional		$95.93	$112.51	$124.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $80.30 / $96.36 / $183.08	Facility		$80.30	$96.36	$183.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $110.83 / $110.83 / $110.83	Professional		$110.83	$110.83	$110.83
United Facility/Professional Professional Modifier Low / Median / High Price $102.74 / $116.10 / $123.29	Professional		$102.74	$116.10	$123.29