Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.47 / $323.47 / $323.47	Facility		$323.47	$323.47	$323.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.49 / $183.17 / $284.05	Professional		$134.49	$183.17	$284.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $232.39 / $832.62 / $832.62	Facility		$232.39	$832.62	$832.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $268.10 / $458.43	Professional		$153.85	$268.10	$458.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.81 / $231.73 / $380.90	Professional		$167.81	$231.73	$380.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.05 / $360.26 / $584.83	Professional		$55.05	$360.26	$584.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $243.70 / $337.01 / $369.84	Facility		$243.70	$337.01	$369.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.39 / $232.39 / $239.29	Facility		$232.39	$232.39	$239.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.29 / $420.79 / $461.62	Professional		$239.29	$420.79	$461.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $423.32 / $423.32 / $423.32	Professional		$423.32	$423.32	$423.32
United Facility/Professional Professional Modifier Low / Median / High Price $222.64 / $298.52 / $508.27	Professional		$222.64	$298.52	$508.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $193.70 / $193.70 / $193.70	Professional		$193.70	$193.70	$193.70