Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $325.36 / $343.09	Facility		$164.42	$325.36	$343.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.41 / $164.42 / $207.14	Professional		$164.41	$164.42	$207.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $197.65 / $295.91 / $578.52	Facility		$197.65	$295.91	$578.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $201.60 / $201.60 / $235.20	Professional		$201.60	$201.60	$235.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.20 / $219.62 / $743.84	Facility		$209.20	$219.62	$743.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.62 / $219.62 / $219.62	Professional		$219.62	$219.62	$219.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.15 / $170.63 / $341.25	Facility		$158.15	$170.63	$341.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.86 / $391.48 / $598.10	Facility		$271.86	$391.48	$598.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.44 / $212.80 / $235.20	Professional		$181.44	$212.80	$235.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $197.65 / $237.18 / $330.23	Facility		$197.65	$237.18	$330.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $201.60 / $201.60 / $201.60	Professional		$201.60	$201.60	$201.60
United Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $185.79 / $235.16	Professional		$164.42	$185.79	$235.16