Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.20 / $178.20 / $255.07	Facility		$178.20	$178.20	$255.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.20 / $178.20 / $272.27	Professional		$178.20	$178.20	$272.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $289.60 / $347.69 / $695.04	Facility		$289.60	$347.69	$695.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $309.54 / $438.25 / $642.23	Professional		$309.54	$438.25	$642.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.36 / $191.36 / $191.36	Professional		$191.36	$191.36	$191.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $306.24 / $435.59 / $466.32	Facility		$306.24	$435.59	$466.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.83 / $261.83 / $323.56	Facility		$261.83	$261.83	$323.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.56 / $495.63 / $642.23	Professional		$323.56	$495.63	$642.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $289.60 / $347.52 / $660.29	Facility		$289.60	$347.52	$660.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $309.54 / $452.88 / $616.30	Professional		$309.54	$452.88	$616.30
United Facility/Professional Professional Modifier Low / Median / High Price $242.76 / $300.26 / $599.33	Professional		$242.76	$300.26	$599.33