Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.20 / $275.63 / $355.69	Facility		$180.20	$275.63	$355.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $180.20 / $205.43	Professional		$180.20	$180.20	$205.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $131.22 / $203.86 / $735.08	Facility		$131.22	$203.86	$735.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $190.80 / $190.80 / $218.36	Professional		$190.80	$190.80	$218.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.81 / $203.81 / $703.68	Facility		$203.81	$203.81	$703.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Professional		$203.81	$203.81	$203.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $176.55 / $212.06 / $215.07	Facility		$176.55	$212.06	$215.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.86 / $203.86 / $203.86	Facility		$203.86	$203.86	$203.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.13 / $193.67 / $214.05	Professional		$165.13	$193.67	$214.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $119.30 / $131.22 / $190.80	Facility		$119.30	$131.22	$190.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.80 / $190.80 / $190.80	Professional		$190.80	$190.80	$190.80
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $205.63 / $218.36	Professional		$181.97	$205.63	$218.36