Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.34 / $154.24 / $267.88	Facility		$123.34	$154.24	$267.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.55 / $146.00 / $282.92	Professional		$132.55	$146.00	$282.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $166.85 / $239.64 / $400.44	Facility		$166.85	$239.64	$400.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $126.45 / $126.45 / $147.53	Professional		$126.45	$126.45	$147.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.13 / $131.13 / $423.40	Facility		$131.13	$131.13	$423.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $131.13 / $131.13	Professional		$131.13	$131.13	$131.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.12 / $141.47 / $277.62	Facility		$120.12	$141.47	$277.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.63 / $252.90 / $456.63	Facility		$175.63	$252.90	$456.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.81 / $133.47 / $147.53	Professional		$113.81	$133.47	$147.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $166.85 / $200.22 / $272.76	Facility		$166.85	$200.22	$272.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $126.45 / $126.45 / $126.45	Professional		$126.45	$126.45	$126.45
United Facility/Professional Professional Modifier Low / Median / High Price $117.08 / $132.30 / $140.50	Professional		$117.08	$132.30	$140.50