Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.94 / $583.17 / $1,049.27	Facility		$151.94	$583.17	$1,049.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $150.35 / $151.94	Professional		$84.77	$150.35	$151.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $167.95 / $262.48 / $759.76	Facility		$167.95	$262.48	$759.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $131.16 / $327.05	Professional		$9.64	$131.16	$327.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.35 / $327.51 / $413.02	Facility		$166.35	$327.51	$413.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.79 / $183.79 / $229.73	Professional		$183.79	$183.79	$229.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $159.94 / $159.94 / $223.93	Facility		$159.94	$159.94	$223.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.94 / $239.92 / $439.86	Facility		$159.94	$239.92	$439.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.96 / $167.95 / $227.13	Professional		$135.96	$167.95	$227.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $167.95 / $262.48 / $439.86	Facility		$167.95	$262.48	$439.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $312.51 / $451.37	Professional		$144.66	$312.51	$451.37
United Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $67.18 / $159.94	Professional		$67.18	$67.18	$159.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $82.85	Professional		$71.98	$71.98	$82.85