Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.92 / $256.39 / $303.27	Facility		$191.92	$256.39	$303.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.91 / $191.92 / $263.56	Professional		$191.91	$191.92	$263.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $181.82 / $266.63 / $488.83	Facility		$181.82	$266.63	$488.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $161.54 / $181.82 / $202.02	Professional		$161.54	$181.82	$202.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.55 / $188.55 / $317.39	Facility		$188.55	$188.55	$317.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.55 / $188.55 / $188.55	Professional		$188.55	$188.55	$188.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $148.19 / $191.92 / $287.88	Facility		$148.19	$191.92	$287.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.00 / $280.80 / $507.00	Facility		$195.00	$280.80	$507.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $161.54 / $178.54	Professional		$137.72	$161.54	$178.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $185.16 / $222.20 / $422.17	Facility		$185.16	$222.20	$422.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.82 / $181.82 / $181.82	Professional		$181.82	$181.82	$181.82
United Facility/Professional Professional Modifier Low / Median / High Price $168.35 / $190.24 / $202.02	Professional		$168.35	$190.24	$202.02