Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.80 / $294.44 / $300.32	Facility		$124.80	$294.44	$300.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $323.88 / $847.00	Professional		$224.00	$323.88	$847.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $132.69 / $200.00 / $411.34	Facility		$132.69	$200.00	$411.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $311.76 / $311.76 / $349.85	Professional		$311.76	$311.76	$349.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.87 / $323.87 / $906.76	Facility		$323.87	$323.87	$906.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.87 / $323.87 / $323.87	Professional		$323.87	$323.87	$323.87
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 $172.94 / $504.94 / $540.69	Facility		$172.94	$504.94	$540.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.79 / $203.02 / $333.19	Facility		$112.79	$203.02	$333.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.88 / $316.52 / $349.85	Professional		$269.88	$316.52	$349.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $132.69 / $199.04 / $311.76	Facility		$132.69	$199.04	$311.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $311.76 / $311.76 / $311.76	Professional		$311.76	$311.76	$311.76
United Facility/Professional Professional Modifier Low / Median / High Price $289.17 / $326.76 / $347.00	Professional		$289.17	$326.76	$347.00