Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.96 / $249.52 / $422.18	Facility		$169.96	$249.52	$422.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.33 / $177.62 / $449.74	Professional		$151.33	$177.62	$449.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $132.08 / $188.67 / $707.51	Facility		$132.08	$188.67	$707.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $179.24 / $179.95 / $199.95	Professional		$179.24	$179.95	$199.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.76 / $186.76 / $521.04	Facility		$186.76	$186.76	$521.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Professional		$186.76	$186.76	$186.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $130.75 / $326.87	Professional		$2.67	$130.75	$326.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $135.37 / $477.56 / $511.21	Facility		$135.37	$477.56	$511.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.67 / $188.67 / $188.67	Facility		$188.67	$188.67	$188.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.82 / $179.24 / $198.10	Professional		$152.82	$179.24	$198.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.07 / $132.08 / $179.95	Facility		$120.07	$132.08	$179.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $179.95 / $179.95 / $179.95	Professional		$179.95	$179.95	$179.95
United Facility/Professional Professional Modifier Low / Median / High Price $166.75 / $188.43 / $200.10	Professional		$166.75	$188.43	$200.10