Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.68 / $624.05 / $1,288.85	Facility		$313.68	$624.05	$1,288.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.68 / $345.04 / $753.00	Professional		$313.68	$345.04	$753.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $338.49 / $507.74 / $981.62	Facility		$338.49	$507.74	$981.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $377.25 / $469.38 / $521.53	Professional		$377.25	$469.38	$521.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.92 / $295.92 / $927.16	Facility		$295.92	$295.92	$927.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.76 / $486.76 / $486.76	Professional		$486.76	$486.76	$486.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.92 / $325.52 / $647.61	Facility		$295.92	$325.52	$647.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.27 / $519.59 / $909.28	Facility		$292.27	$519.59	$909.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.58 / $377.25 / $521.52	Professional		$321.58	$377.25	$521.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $329.99 / $428.99 / $753.65	Facility		$329.99	$428.99	$753.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $469.38 / $469.38 / $469.38	Professional		$469.38	$469.38	$469.38
United Facility/Professional Facility Modifier Low / Median / High Price $471.57 / $471.57 / $471.57	Facility		$471.57	$471.57	$471.57
United Facility/Professional Professional Modifier Low / Median / High Price $340.89 / $385.21 / $529.09	Professional		$340.89	$385.21	$529.09