Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.58 / $119.58 / $281.36	Facility		$119.58	$119.58	$281.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.76 / $119.58 / $119.58	Professional		$116.76	$119.58	$119.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $102.98 / $223.86 / $447.72	Facility		$102.98	$223.86	$447.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $113.08 / $119.58 / $140.68	Professional		$113.08	$119.58	$140.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.08 / $119.58 / $236.34	Facility		$113.08	$119.58	$236.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Professional		$119.58	$119.58	$119.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.08 / $230.26 / $351.78	Facility		$113.08	$230.26	$351.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.43 / $119.73 / $133.03	Professional		$102.43	$119.73	$133.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $93.50 / $119.58 / $233.11	Facility		$93.50	$119.58	$233.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Professional		$119.58	$119.58	$119.58
United Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $117.24	Professional		$117.24	$117.24	$117.24