Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.75 / $311.82 / $505.75	Facility		$251.75	$311.82	$505.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $255.79 / $294.20	Professional		$243.61	$255.79	$294.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $225.04 / $368.79 / $1,178.84	Facility		$225.04	$368.79	$1,178.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $233.86 / $243.61 / $280.63	Professional		$233.86	$243.61	$280.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.82 / $229.82 / $572.17	Facility		$229.82	$229.82	$572.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $243.61	Professional		$243.61	$243.61	$243.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.83 / $259.34 / $267.97	Professional		$218.83	$259.34	$267.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $243.14 / $296.10 / $729.45	Facility		$243.14	$296.10	$729.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.04 / $291.52 / $551.16	Facility		$225.04	$291.52	$551.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.49 / $255.98 / $433.61	Professional		$231.49	$255.98	$433.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.90 / $281.88 / $469.80	Facility		$234.90	$281.88	$469.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $280.14	Professional		$243.61	$243.61	$280.14
United Facility/Professional Professional Modifier Low / Median / High Price $207.07 / $243.61 / $243.61	Professional		$207.07	$243.61	$243.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $243.61	Professional		$243.61	$243.61	$243.61