Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.34 / $679.52 / $49,716.60	Facility		$374.34	$679.52	$49,716.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $374.34 / $892.42	Professional		$340.31	$374.34	$892.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $316.27 / $511.95 / $29,984.75	Facility		$316.27	$511.95	$29,984.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $326.70 / $340.31 / $391.36	Professional		$326.70	$340.31	$391.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.05 / $321.05 / $808.08	Facility		$321.05	$321.05	$808.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $417.37	Professional		$340.31	$340.31	$417.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $306.03 / $340.31 / $374.34	Professional		$306.03	$340.31	$374.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $339.76 / $391.68 / $1,019.28	Facility		$339.76	$391.68	$1,019.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.05 / $478.48 / $837.34	Facility		$299.05	$478.48	$837.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.17 / $361.53 / $644.46	Professional		$321.17	$361.53	$644.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $316.27 / $419.09 / $1,012.06	Facility		$316.27	$419.09	$1,012.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $391.36	Professional		$340.31	$340.31	$391.36
United Facility/Professional Professional Modifier Low / Median / High Price $136.12 / $340.31 / $340.31	Professional		$136.12	$340.31	$340.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $340.31	Professional		$340.31	$340.31	$340.31