Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.11 / $147.11 / $176.71	Facility		$147.11	$147.11	$176.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.33 / $108.97 / $265.31	Professional		$75.33	$108.97	$265.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $131.35 / $383.01 / $383.01	Facility		$131.35	$383.01	$383.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $74.87 / $145.30 / $248.04	Professional		$74.87	$145.30	$248.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $123.08 / $174.92	Professional		$86.94	$123.08	$174.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $65.68 / $118.90	Professional		$48.60	$65.68	$118.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $127.64 / $193.84 / $203.01	Facility		$127.64	$193.84	$203.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.35 / $135.44 / $135.44	Facility		$131.35	$135.44	$135.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.58 / $197.38 / $249.22	Professional		$124.58	$197.38	$249.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $210.01 / $210.01 / $248.04	Professional		$210.01	$210.01	$248.04
United Facility/Professional Professional Modifier Low / Median / High Price $133.21 / $182.94 / $285.06	Professional		$133.21	$182.94	$285.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $88.51 / $109.82	Professional		$88.51	$88.51	$109.82