Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.97 / $364.16 / $1,201.51	Facility		$204.97	$364.16	$1,201.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.99 / $204.98 / $204.98	Professional		$180.99	$204.98	$204.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $228.96 / $357.84 / $1,035.79	Facility		$228.96	$357.84	$1,035.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $196.25 / $360.40	Professional		$87.22	$196.25	$360.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.97 / $351.52 / $550.16	Facility		$115.97	$351.52	$550.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.78 / $250.69 / $313.36	Professional		$223.78	$250.69	$313.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $239.87 / $327.08	Facility		$218.06	$239.87	$327.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $327.08 / $599.66	Facility		$218.06	$327.08	$599.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.35 / $228.96 / $309.64	Professional		$185.35	$228.96	$309.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $250.77 / $357.84 / $599.66	Facility		$250.77	$357.84	$599.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $163.55 / $218.06 / $588.32	Professional		$163.55	$218.06	$588.32
United Facility/Professional Facility Modifier Low / Median / High Price $141.74 / $218.06 / $218.06	Facility		$141.74	$218.06	$218.06
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $91.59 / $218.06	Professional		$91.59	$91.59	$218.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.13 / $98.13 / $112.96	Professional		$98.13	$98.13	$112.96