Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.79 / $221.79 / $221.79	Facility		$221.79	$221.79	$221.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.14 / $131.93 / $187.21	Professional		$92.14	$131.93	$187.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $164.30 / $573.72 / $573.72	Facility		$164.30	$573.72	$573.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $106.01 / $184.80 / $316.42	Professional		$106.01	$184.80	$316.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.55 / $166.74 / $262.67	Professional		$120.55	$166.74	$262.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $156.64 / $288.40	Professional		$28.85	$156.64	$288.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $174.24 / $240.82 / $253.93	Facility		$174.24	$240.82	$253.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.30 / $167.61 / $167.61	Facility		$164.30	$167.61	$167.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.61 / $288.91 / $327.67	Professional		$167.61	$288.91	$327.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $305.92 / $305.92 / $305.92	Professional		$305.92	$305.92	$305.92
United Facility/Professional Professional Modifier Low / Median / High Price $148.05 / $210.55 / $358.75	Professional		$148.05	$210.55	$358.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.69 / $133.69 / $133.69	Professional		$133.69	$133.69	$133.69