Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.87 / $214.87 / $214.87	Facility		$214.87	$214.87	$214.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $214.87 / $245.48	Professional		$116.28	$214.87	$245.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $257.89 / $409.57 / $1,206.97	Facility		$257.89	$409.57	$1,206.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $113.22 / $219.22 / $251.86	Professional		$113.22	$219.22	$251.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $119.00	Professional		$119.00	$119.00	$119.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $217.48 / $217.48 / $217.48	Professional		$217.48	$217.48	$217.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.86 / $251.86 / $79,999.20	Facility		$251.86	$251.86	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.83 / $392.77 / $638.25	Facility		$225.83	$392.77	$638.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.86 / $251.86 / $454.14	Professional		$251.86	$251.86	$454.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $319.98 / $383.97 / $729.54	Facility		$319.98	$383.97	$729.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $219.22 / $219.22 / $219.22	Professional		$219.22	$219.22	$219.22
United Facility/Professional Professional Modifier Low / Median / High Price $151.12 / $273.57 / $588.25	Professional		$151.12	$273.57	$588.25