Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $281.50 / $370.47	Facility		$140.75	$281.50	$370.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $140.75 / $334.22	Professional		$140.75	$140.75	$334.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $176.01 / $253.46 / $440.36	Facility		$176.01	$253.46	$440.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $158.16 / $211.64 / $211.64	Professional		$158.16	$211.64	$211.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.66 / $161.82 / $512.96	Facility		$155.66	$161.82	$512.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $161.82 / $161.82	Professional		$161.82	$161.82	$161.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $126.68 / $149.19 / $292.76	Facility		$126.68	$149.19	$292.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.16 / $288.23 / $440.36	Facility		$200.16	$288.23	$440.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.85 / $158.16 / $174.80	Professional		$134.85	$158.16	$174.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $176.01 / $211.22 / $330.23	Facility		$176.01	$211.22	$330.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $211.64 / $211.64 / $211.64	Professional		$211.64	$211.64	$211.64
United Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $163.26 / $173.38	Professional		$144.47	$163.26	$173.38