Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $227.18 / $830.44	Facility		$88.00	$227.18	$830.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $157.34 / $175.00	Professional		$76.75	$157.34	$175.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $161.18 / $251.89 / $729.13	Facility		$161.18	$251.89	$729.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $138.15 / $291.01	Professional		$61.40	$138.15	$291.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.51 / $326.31 / $614.89	Facility		$224.51	$326.31	$614.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $176.76 / $220.96	Professional		$81.18	$176.76	$220.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $153.50 / $153.50 / $338.85	Facility		$153.50	$153.50	$338.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.50 / $230.25 / $422.13	Facility		$153.50	$230.25	$422.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.47 / $161.18 / $217.97	Professional		$130.47	$161.18	$217.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $161.18 / $251.89 / $422.13	Facility		$161.18	$251.89	$422.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $153.50 / $414.07	Professional		$115.13	$153.50	$414.07
United Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $64.47 / $171.92	Professional		$64.47	$64.47	$171.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.08 / $69.08 / $79.51	Professional		$69.08	$69.08	$79.51