Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.04 / $250.04 / $250.04	Facility		$250.04	$250.04	$250.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $186.30 / $242.25	Professional		$107.31	$186.30	$242.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $183.37 / $685.02 / $685.02	Facility		$183.37	$685.02	$685.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $118.40 / $235.56 / $383.70	Professional		$118.40	$235.56	$383.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.25 / $235.06 / $293.82	Professional		$172.25	$235.06	$293.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $239.14 / $390.34	Professional		$36.38	$239.14	$390.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $232.46 / $283.41 / $345.72	Facility		$232.46	$283.41	$345.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.37 / $235.56 / $235.56	Facility		$183.37	$235.56	$235.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.06 / $322.45 / $383.70	Professional		$209.06	$322.45	$383.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $429.11 / $429.11 / $429.11	Professional		$429.11	$429.11	$429.11
United Facility/Professional Professional Modifier Low / Median / High Price $231.75 / $303.85 / $495.94	Professional		$231.75	$303.85	$495.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.60 / $148.60 / $148.60	Professional		$148.60	$148.60	$148.60