Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.38 / $630.87 / $1,135.08	Facility		$164.38	$630.87	$1,135.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.71 / $162.65 / $164.38	Professional		$91.71	$162.65	$164.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $181.68 / $283.94 / $821.89	Facility		$181.68	$283.94	$821.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $173.03 / $393.42	Professional		$96.90	$173.03	$393.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.95 / $354.28 / $446.79	Facility		$179.95	$354.28	$446.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.07 / $199.07 / $248.83	Professional		$199.07	$199.07	$248.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $173.03 / $242.24	Facility		$173.03	$173.03	$242.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $259.55 / $475.83	Facility		$173.03	$259.55	$475.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.08 / $181.68 / $245.70	Professional		$147.08	$181.68	$245.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $181.68 / $283.94 / $475.83	Facility		$181.68	$283.94	$475.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $156.66 / $338.25 / $487.97	Professional		$156.66	$338.25	$487.97
United Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $72.67 / $173.03	Professional		$72.67	$72.67	$173.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.86 / $77.86 / $89.63	Professional		$77.86	$77.86	$89.63