Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.60 / $164.60 / $164.60	Facility		$164.60	$164.60	$164.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.51 / $180.63 / $352.67	Professional		$158.51	$180.63	$352.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $162.11 / $168.43 / $675.45	Facility		$162.11	$168.43	$675.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $168.43 / $168.43 / $196.39	Professional		$168.43	$168.43	$196.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.41 / $175.41 / $350.82	Facility		$175.41	$175.41	$350.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Professional		$175.41	$175.41	$175.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.77 / $152.12 / $331.92	Professional		$132.77	$152.12	$331.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $134.53 / $134.53	Facility		$25.00	$134.53	$134.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.04 / $187.04 / $187.04	Facility		$187.04	$187.04	$187.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.50 / $177.69 / $196.39	Professional		$151.50	$177.69	$196.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $168.43 / $168.43 / $168.43	Facility		$168.43	$168.43	$168.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $168.43 / $168.43 / $168.43	Professional		$168.43	$168.43	$168.43
United Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $177.07 / $188.04	Professional		$156.69	$177.07	$188.04