Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.80 / $441.54 / $1,199.65	Facility		$226.80	$441.54	$1,199.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $283.77 / $498.84	Professional		$240.00	$283.77	$498.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $322.48 / $464.36 / $773.94	Facility		$322.48	$464.36	$773.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $271.57 / $383.11	Professional		$257.99	$271.57	$383.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.60 / $253.60 / $806.64	Facility		$253.60	$253.60	$806.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $253.60 / $253.60	Professional		$253.60	$253.60	$253.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $232.19 / $273.47 / $536.62	Facility		$232.19	$273.47	$536.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $339.46 / $488.83 / $746.82	Facility		$339.46	$488.83	$746.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.97 / $257.99 / $285.14	Professional		$219.97	$257.99	$285.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $322.48 / $386.97 / $735.24	Facility		$322.48	$386.97	$735.24
United Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $291.52 / $309.58	Professional		$257.99	$291.52	$309.58