Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $222.25 / $6,324.17	Facility		$222.25	$222.25	$6,324.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $286.89	Professional		$222.25	$222.25	$286.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $260.44 / $390.66 / $807.36	Facility		$260.44	$390.66	$807.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $367.55 / $427.88	Professional		$288.33	$367.55	$427.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.67 / $209.67 / $607.51	Facility		$209.67	$209.67	$607.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.36 / $399.36 / $399.36	Professional		$399.36	$399.36	$399.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $251.60 / $461.27	Facility		$222.25	$251.60	$461.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.11 / $425.47 / $717.65	Facility		$228.11	$425.47	$717.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.79 / $288.33 / $449.27	Professional		$245.79	$288.33	$449.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $260.44 / $312.52 / $579.87	Facility		$260.44	$312.52	$579.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $367.55 / $367.55 / $367.55	Professional		$367.55	$367.55	$367.55
United Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $251.14 / $427.88	Professional		$222.25	$251.14	$427.88