Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.83 / $149.83 / $149.83	Facility		$149.83	$149.83	$149.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.83 / $149.83 / $282.77	Professional		$149.83	$149.83	$282.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $112.75 / $166.34 / $623.78	Facility		$112.75	$166.34	$623.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $124.28 / $124.28 / $176.27	Professional		$124.28	$124.28	$176.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.66 / $164.66 / $526.16	Facility		$164.66	$164.66	$526.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Professional		$164.66	$164.66	$164.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $120.95 / $302.37	Professional		$2.67	$120.95	$302.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $106.15 / $127.50 / $129.31	Facility		$106.15	$127.50	$129.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.34 / $166.34 / $166.34	Facility		$166.34	$166.34	$166.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.74 / $158.02 / $174.66	Professional		$134.74	$158.02	$174.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $102.50 / $112.75 / $124.28	Facility		$102.50	$112.75	$124.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $124.28 / $124.28 / $124.28	Professional		$124.28	$124.28	$124.28
United Facility/Professional Professional Modifier Low / Median / High Price $147.02 / $166.13 / $176.42	Professional		$147.02	$166.13	$176.42