Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $127.55 / $307.85	Facility		$75.09	$127.55	$307.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.68 / $145.41 / $423.57	Professional		$108.68	$145.41	$423.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $96.53 / $143.32 / $512.54	Facility		$96.53	$143.32	$512.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $96.53 / $150.49	Professional		$96.53	$96.53	$150.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $134.47 / $414.76	Facility		$134.47	$134.47	$414.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Professional		$134.47	$134.47	$134.47
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 $95.76 / $127.50 / $129.31	Facility		$95.76	$127.50	$129.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.32 / $143.32 / $143.32	Facility		$143.32	$143.32	$143.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.09 / $136.15 / $150.49	Professional		$116.09	$136.15	$150.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $96.53 / $96.53 / $96.53	Facility		$96.53	$96.53	$96.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $96.53 / $96.53	Professional		$96.53	$96.53	$96.53
United Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $135.66 / $144.07	Professional		$120.06	$135.66	$144.07