Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.02 / $218.33 / $218.33	Facility		$180.02	$218.33	$218.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.94 / $199.95 / $218.33	Professional		$156.94	$199.95	$218.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $252.72 / $347.11 / $934.12	Facility		$252.72	$347.11	$934.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $252.72 / $365.90 / $501.63	Professional		$252.72	$365.90	$501.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $164.86 / $164.86	Professional		$164.86	$164.86	$164.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.16 / $239.00 / $387.85	Professional		$45.16	$239.00	$387.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $258.52 / $362.94 / $389.64	Facility		$258.52	$362.94	$389.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.72 / $252.72 / $252.72	Facility		$252.72	$252.72	$252.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.72 / $413.06 / $501.63	Professional		$252.72	$413.06	$501.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $264.73 / $365.48 / $489.68	Professional		$264.73	$365.48	$489.68
United Facility/Professional Professional Modifier Low / Median / High Price $233.78 / $296.41 / $524.41	Professional		$233.78	$296.41	$524.41