Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.74 / $139.74 / $139.74	Facility		$139.74	$139.74	$139.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.65 / $139.74 / $219.60	Professional		$126.65	$139.74	$219.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,242.55 / $1,242.55	Facility		$100.00	$1,242.55	$1,242.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $34.42 / $194.57 / $345.05	Professional		$34.42	$194.57	$345.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.86 / $178.86 / $178.86	Facility		$178.86	$178.86	$178.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $152.03 / $303.75	Professional		$152.03	$152.03	$303.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $332.40 / $427.07 / $470.34	Facility		$332.40	$427.07	$470.34
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $386.10 / $463.76 / $470.34	Professional		$386.10	$463.76	$470.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.52 / $24.52 / $24.52	Facility		$24.52	$24.52	$24.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $223.10 / $494.14	Professional		$19.55	$223.10	$494.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $28.27 / $34.42	Professional		$28.27	$28.27	$34.42
United Facility/Professional Professional Modifier Low / Median / High Price $110.44 / $140.93 / $193.26	Professional		$110.44	$140.93	$193.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $286.27 / $286.27 / $286.27	Professional		$286.27	$286.27	$286.27