Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.22 / $103.22 / $242.86	Facility		$103.22	$103.22	$242.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.79 / $103.22 / $103.22	Professional		$100.79	$103.22	$103.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $107.60 / $220.38 / $455.45	Facility		$107.60	$220.38	$455.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $48.59 / $107.60 / $118.46	Professional		$48.59	$107.60	$118.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $11.82 / $11.82	Professional		$11.82	$11.82	$11.82
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 $23.65 / $28.41 / $28.81	Facility		$23.65	$28.41	$28.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.32 / $146.91 / $336.45	Facility		$98.32	$146.91	$336.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.21 / $106.61 / $118.46	Professional		$91.21	$106.61	$118.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.60 / $176.30 / $426.07	Facility		$107.60	$176.30	$426.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $107.60 / $107.60	Professional		$107.60	$107.60	$107.60
United Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $101.19 / $101.19	Professional		$101.19	$101.19	$101.19