Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.40 / $200.40 / $317.31	Facility		$200.40	$200.40	$317.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $200.40 / $306.19	Professional		$200.40	$200.40	$306.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $360.34 / $432.57 / $864.81	Facility		$360.34	$432.57	$864.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $544.72 / $798.25	Professional		$384.85	$544.72	$798.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.10 / $238.10 / $238.10	Professional		$238.10	$238.10	$238.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $476.30 / $580.22 / $580.22	Facility		$476.30	$580.22	$580.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.45 / $294.45 / $402.16	Facility		$294.45	$294.45	$402.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.16 / $616.63 / $798.25	Professional		$402.16	$616.63	$798.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $360.34 / $432.41 / $821.57	Facility		$360.34	$432.41	$821.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $384.85 / $563.45 / $766.84	Professional		$384.85	$563.45	$766.84
United Facility/Professional Professional Modifier Low / Median / High Price $273.02 / $330.13 / $745.65	Professional		$273.02	$330.13	$745.65