Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.97 / $312.32 / $355.69	Facility		$162.97	$312.32	$355.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $162.97 / $196.09	Professional		$162.97	$162.97	$196.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $190.80 / $339.26 / $659.68	Facility		$190.80	$339.26	$659.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $172.58 / $190.80 / $218.36	Professional		$172.58	$190.80	$218.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.75 / $190.27 / $203.81	Facility		$153.75	$190.27	$203.81
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 $143.59 / $169.13 / $324.11	Facility		$143.59	$169.13	$324.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.86 / $339.26 / $518.32	Facility		$203.86	$339.26	$518.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.12 / $172.58 / $214.05	Professional		$147.12	$172.58	$214.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $190.80 / $190.80 / $190.80	Facility		$190.80	$190.80	$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 $162.97 / $184.17 / $218.36	Professional		$162.97	$184.17	$218.36