Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.82 / $202.50 / $342.20	Facility		$141.82	$202.50	$342.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.69 / $219.82 / $444.80	Professional		$181.69	$219.82	$444.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $219.82 / $232.75 / $890.51	Facility		$219.82	$232.75	$890.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $225.60 / $232.75 / $258.61	Professional		$225.60	$232.75	$258.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.37 / $241.37 / $627.20	Facility		$241.37	$241.37	$627.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Professional		$241.37	$241.37	$241.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $215.51 / $364.21	Professional		$144.19	$215.51	$364.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $183.23 / $183.23	Facility		$25.00	$183.23	$183.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.47 / $237.47 / $237.47	Facility		$237.47	$237.47	$237.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.35 / $225.60 / $249.34	Professional		$192.35	$225.60	$249.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $232.75 / $232.75 / $232.75	Facility		$232.75	$232.75	$232.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $232.75 / $232.75 / $232.75	Professional		$232.75	$232.75	$232.75
United Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $243.53 / $258.61	Professional		$215.51	$243.53	$258.61