Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.91 / $282.87 / $978.36	Facility		$166.91	$282.87	$978.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $166.91 / $280.72	Professional		$99.43	$166.91	$280.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $186.44 / $291.38 / $843.41	Facility		$186.44	$291.38	$843.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $150.25 / $288.27	Professional		$71.02	$150.25	$288.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.66 / $363.54 / $461.64	Facility		$184.66	$363.54	$461.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.72 / $204.02 / $255.03	Professional		$89.72	$204.02	$255.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $186.44 / $391.96	Facility		$177.56	$186.44	$391.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $266.33 / $488.29	Facility		$177.56	$266.33	$488.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.93 / $186.44 / $252.14	Professional		$150.93	$186.44	$252.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $204.19 / $291.38 / $488.29	Facility		$204.19	$291.38	$488.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $177.56 / $478.74	Professional		$133.16	$177.56	$478.74
United Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $74.58 / $177.56	Professional		$74.58	$74.58	$177.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $79.90 / $91.98	Professional		$79.90	$79.90	$91.98