Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.56 / $516.08 / $750.66	Facility		$107.56	$516.08	$750.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $107.56 / $107.56	Professional		$60.65	$107.56	$107.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $120.15 / $187.78 / $543.54	Facility		$120.15	$187.78	$543.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $102.99 / $209.58	Professional		$45.77	$102.99	$209.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.01 / $243.24 / $297.77	Facility		$119.01	$243.24	$297.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $131.75 / $164.68	Professional		$131.75	$131.75	$164.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.99 / $125.87 / $200.25	Facility		$102.99	$125.87	$200.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $171.65 / $314.68	Facility		$114.43	$171.65	$314.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $120.15 / $162.49	Professional		$97.27	$120.15	$162.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.15 / $187.78 / $314.68	Facility		$120.15	$187.78	$314.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.82 / $114.43 / $308.98	Professional		$85.82	$114.43	$308.98
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $48.06 / $114.43	Professional		$48.06	$48.06	$114.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $51.49 / $59.27	Professional		$51.49	$51.49	$59.27