Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.54 / $211.54 / $211.54	Facility		$211.54	$211.54	$211.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.54 / $211.54 / $237.18	Professional		$211.54	$211.54	$237.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $240.50 / $346.32 / $873.48	Facility		$240.50	$346.32	$873.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $324.81 / $529.91	Professional		$127.43	$324.81	$529.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $253.68 / $378.08 / $387.26	Facility		$253.68	$378.08	$387.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.93 / $260.93 / $264.14	Facility		$260.93	$260.93	$264.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.14 / $409.44 / $529.91	Professional		$264.14	$409.44	$529.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $240.50 / $288.60 / $548.34	Facility		$240.50	$288.60	$548.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $168.38 / $328.89 / $519.16	Professional		$168.38	$328.89	$519.16
United Facility/Professional Professional Modifier Low / Median / High Price $175.70 / $177.00 / $416.77	Professional		$175.70	$177.00	$416.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $64.05	Professional		$64.05	$64.05	$64.05