Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $261.32 / $336.77	Facility		$134.19	$261.32	$336.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $134.19 / $312.02	Professional		$134.19	$134.19	$312.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $137.88 / $215.66 / $445.69	Facility		$137.88	$215.66	$445.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $168.40 / $170.72 / $189.69	Professional		$168.40	$170.72	$189.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.60 / $126.60 / $354.80	Facility		$126.60	$126.60	$354.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.04 / $177.04 / $177.04	Professional		$177.04	$177.04	$177.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $130.66 / $143.77 / $271.19	Facility		$130.66	$143.77	$271.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.10 / $220.63 / $386.10	Facility		$124.10	$220.63	$386.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.55 / $168.40 / $189.69	Professional		$143.55	$168.40	$189.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $136.74 / $172.52 / $320.10	Facility		$136.74	$172.52	$320.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $170.72 / $170.72 / $170.72	Professional		$170.72	$170.72	$170.72
United Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $151.63 / $195.02	Professional		$134.19	$151.63	$195.02