Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.04 / $215.72 / $7,187.88	Facility		$109.04	$215.72	$7,187.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $109.04 / $2,757.20	Professional		$99.12	$109.04	$2,757.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $122.54 / $221.64 / $431.18	Facility		$122.54	$221.64	$431.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $109.04 / $135.94 / $208.75	Professional		$109.04	$135.94	$208.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $99.13 / $225.80	Facility		$93.52	$99.13	$225.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $121.57	Professional		$99.13	$99.13	$121.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $103.71 / $112.90	Professional		$99.13	$103.71	$112.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $123.91 / $311.13	Facility		$99.13	$123.91	$311.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.29 / $202.19 / $343.11	Facility		$110.29	$202.19	$343.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.94 / $135.94 / $208.75	Professional		$122.94	$135.94	$208.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $111.14 / $177.31 / $441.51	Facility		$111.14	$177.31	$441.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.04 / $109.04 / $109.04	Professional		$109.04	$109.04	$109.04
United Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $118.96	Professional		$99.13	$99.13	$118.96