Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.62 / $386.82 / $750.66	Facility		$80.62	$386.82	$750.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.51 / $80.62 / $80.62	Professional		$50.51	$80.62	$80.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $98.64 / $178.51 / $543.54	Facility		$98.64	$178.51	$543.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $85.82 / $139.69	Professional		$45.77	$85.82	$139.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.20 / $182.32 / $221.47	Facility		$89.20	$182.32	$221.47
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 $85.77 / $128.66 / $235.87	Facility		$85.77	$128.66	$235.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.19 / $90.06 / $121.79	Professional		$77.19	$90.06	$121.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.15 / $183.09 / $314.68	Facility		$120.15	$183.09	$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 $36.02 / $36.02 / $102.92	Professional		$36.02	$36.02	$102.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $51.49 / $59.27	Professional		$51.49	$51.49	$59.27