Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.14 / $152.47 / $214.78	Facility		$100.14	$152.47	$214.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $116.64 / $303.20	Professional		$93.43	$116.64	$303.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $105.42 / $110.54 / $414.53	Facility		$105.42	$110.54	$414.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $105.01 / $105.42 / $116.07	Professional		$105.01	$105.42	$116.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.62 / $106.62 / $317.72	Facility		$106.62	$106.62	$317.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Professional		$106.62	$106.62	$106.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $90.24 / $225.60	Professional		$2.67	$90.24	$225.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.43 / $84.56 / $85.76	Facility		$64.43	$84.56	$85.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.54 / $110.54 / $110.54	Facility		$110.54	$110.54	$110.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.54 / $105.01 / $116.07	Professional		$89.54	$105.01	$116.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $105.42 / $105.42 / $105.42	Facility		$105.42	$105.42	$105.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $105.42 / $105.42 / $105.42	Professional		$105.42	$105.42	$105.42
United Facility/Professional Facility Modifier Low / Median / High Price $113.79 / $113.79 / $113.79	Facility		$113.79	$113.79	$113.79
United Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $109.16 / $115.92	Professional		$96.60	$109.16	$115.92