Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.61 / $119.61 / $119.61	Facility		$119.61	$119.61	$119.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $119.61 / $119.61	Professional		$39.70	$119.61	$119.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $58.39 / $115.20 / $480.00	Facility		$58.39	$115.20	$480.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $58.39 / $140.72	Professional		$58.39	$58.39	$140.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.35 / $131.35 / $318.92	Facility		$131.35	$131.35	$318.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $131.35 / $131.35	Professional		$131.35	$131.35	$131.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.12 / $64.73 / $65.66	Facility		$53.12	$64.73	$65.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Facility		$128.00	$128.00	$128.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $121.60 / $134.40	Professional		$103.68	$121.60	$134.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.39 / $58.39 / $58.39	Facility		$58.39	$58.39	$58.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $58.39 / $58.39	Professional		$58.39	$58.39	$58.39
United Facility/Professional Professional Modifier Low / Median / High Price $117.28 / $132.53 / $140.74	Professional		$117.28	$132.53	$140.74