Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.93 / $304.38 / $841.63	Facility		$167.93	$304.38	$841.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $197.00 / $450.68	Professional		$177.56	$197.00	$450.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $200.36 / $269.49 / $505.29	Facility		$200.36	$269.49	$505.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $168.21 / $168.21 / $186.90	Professional		$168.21	$168.21	$186.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.44 / $174.44 / $515.20	Facility		$174.44	$174.44	$515.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Professional		$174.44	$174.44	$174.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $168.30 / $177.56 / $335.59	Facility		$168.30	$177.56	$335.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.90 / $303.70 / $463.98	Facility		$210.90	$303.70	$463.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.50 / $168.30 / $186.02	Professional		$143.50	$168.30	$186.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $210.54 / $252.65 / $336.86	Facility		$210.54	$252.65	$336.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $168.21 / $168.21 / $168.21	Professional		$168.21	$168.21	$168.21
United Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $176.00 / $186.90	Professional		$155.75	$176.00	$186.90