Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.57 / $149.72 / $155.71	Facility		$83.57	$149.72	$155.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $83.57 / $90.73	Professional		$75.97	$83.57	$90.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $73.63 / $110.45 / $213.53	Facility		$73.63	$110.45	$213.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $77.68 / $87.40	Professional		$75.97	$77.68	$87.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $71.67 / $140.86	Facility		$71.67	$71.67	$140.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $93.17	Professional		$75.97	$75.97	$93.17
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 $74.86 / $93.58 / $174.13	Facility		$74.86	$93.58	$174.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.25 / $116.00 / $202.99	Facility		$65.25	$116.00	$202.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $79.76 / $84.62	Professional		$72.13	$79.76	$84.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $73.63 / $97.92 / $213.53	Facility		$73.63	$97.92	$213.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
United Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Facility		$75.97	$75.97	$75.97
United Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97