Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.02 / $316.02 / $316.02	Facility		$316.02	$316.02	$316.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.61 / $306.82 / $306.82	Professional		$238.61	$306.82	$306.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $411.60 / $411.60 / $1,372.22	Facility		$411.60	$411.60	$1,372.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $469.29 / $529.00 / $693.45	Professional		$469.29	$529.00	$693.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.51 / $198.51 / $550.00	Professional		$198.51	$198.51	$550.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.77 / $272.44 / $79,999.20	Facility		$245.77	$272.44	$79,999.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.15 / $650.00 / $693.45	Professional		$508.15	$650.00	$693.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $469.29 / $469.29 / $531.00	Professional		$469.29	$469.29	$531.00
United Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $275.37 / $296.45	Professional		$260.00	$275.37	$296.45