Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.02 / $277.02 / $651.84	Facility		$277.02	$277.02	$651.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.51 / $277.02 / $277.02	Professional		$270.51	$277.02	$277.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $240.65 / $537.60 / $1,075.20	Facility		$240.65	$537.60	$1,075.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $268.97 / $277.02 / $325.92	Professional		$268.97	$277.02	$325.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.97 / $277.02 / $554.05	Facility		$268.97	$277.02	$554.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Professional		$277.02	$277.02	$277.02
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 $417.03 / $79,999.20 / $79,999.20	Facility		$417.03	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.97 / $552.96 / $844.80	Facility		$268.97	$552.96	$844.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.66 / $284.80 / $316.44	Professional		$243.66	$284.80	$316.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $218.74 / $277.02 / $544.74	Facility		$218.74	$277.02	$544.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Professional		$277.02	$277.02	$277.02
United Facility/Professional Professional Modifier Low / Median / High Price $271.60 / $271.60 / $271.60	Professional		$271.60	$271.60	$271.60