Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.31 / $150.21 / $216.90	Facility		$112.31	$150.21	$216.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.29 / $156.97 / $291.48	Professional		$119.29	$156.97	$291.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $150.76 / $628.16	Facility		$120.36	$150.76	$628.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $184.68	Professional		$120.36	$120.36	$184.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.37 / $172.37 / $328.32	Facility		$172.37	$172.37	$328.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Professional		$172.37	$172.37	$172.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.49 / $111.45 / $278.62	Professional		$96.49	$111.45	$278.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.84 / $92.49 / $93.80	Facility		$61.84	$92.49	$93.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.88 / $175.88 / $175.88	Facility		$175.88	$175.88	$175.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.46 / $167.09 / $184.67	Professional		$142.46	$167.09	$184.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
United Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $153.90 / $184.68	Professional		$149.63	$153.90	$184.68