Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.31 / $239.86 / $320.20	Facility		$233.31	$239.86	$320.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.29 / $239.86 / $263.83	Professional		$203.29	$239.86	$263.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $228.45 / $253.98 / $924.60	Facility		$228.45	$253.98	$924.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $253.98 / $253.98 / $282.20	Professional		$253.98	$253.98	$282.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.38 / $263.38 / $630.16	Facility		$263.38	$263.38	$630.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.38 / $263.38 / $263.38	Professional		$263.38	$263.38	$263.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.15 / $235.16 / $397.42	Professional		$118.15	$235.16	$397.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $118.22 / $144.02 / $146.06	Facility		$118.22	$144.02	$146.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.76 / $268.76 / $268.76	Facility		$268.76	$268.76	$268.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.70 / $255.32 / $282.20	Professional		$217.70	$255.32	$282.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $253.98 / $253.98 / $253.98	Facility		$253.98	$253.98	$253.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $253.98 / $253.98 / $253.98	Professional		$253.98	$253.98	$253.98
United Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $265.73 / $282.19	Professional		$235.16	$265.73	$282.19