Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $283.20	Facility		$120.36	$120.36	$283.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.53 / $120.36 / $120.36	Professional		$117.53	$120.36	$120.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $112.35 / $120.36 / $531.00	Facility		$112.35	$120.36	$531.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $141.60	Professional		$120.36	$120.36	$141.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $240.72	Facility		$120.36	$120.36	$240.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
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 $132.22 / $79,999.20 / $79,999.20	Facility		$132.22	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.53 / $117.53 / $120.36	Facility		$117.53	$117.53	$120.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.03 / $127.44 / $141.60	Professional		$109.03	$127.44	$141.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $112.35 / $120.36 / $279.75	Facility		$112.35	$120.36	$279.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
United Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $118.00	Professional		$118.00	$118.00	$118.00