Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.01 / $173.88 / $180.84	Facility		$96.01	$173.88	$180.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $96.01 / $105.20	Professional		$87.28	$96.01	$105.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $83.97 / $173.88 / $347.76	Facility		$83.97	$173.88	$347.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $87.28 / $105.41	Professional		$86.99	$87.28	$105.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.34 / $82.34 / $87.28	Facility		$82.34	$82.34	$87.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $107.05	Professional		$87.28	$87.28	$107.05
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 $86.94 / $108.68 / $260.82	Facility		$86.94	$108.68	$260.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.99 / $178.85 / $273.24	Facility		$86.99	$178.85	$273.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $92.11 / $102.34	Professional		$78.80	$92.11	$102.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $76.34 / $87.28 / $190.09	Facility		$76.34	$87.28	$190.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $87.28	Professional		$87.28	$87.28	$87.28
United Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $87.28	Professional		$87.28	$87.28	$87.28