Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.94 / $544.45 / $791.92	Facility		$156.94	$544.45	$791.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $61.08 / $120.72	Professional		$61.08	$61.08	$120.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $120.72 / $305.54 / $573.41	Facility		$120.72	$305.54	$573.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $59.61 / $120.72 / $207.90	Professional		$59.61	$120.72	$207.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.55 / $247.18 / $387.48	Facility		$125.55	$247.18	$387.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $63.47 / $157.50	Professional		$63.47	$63.47	$157.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.72 / $120.72 / $181.08	Facility		$120.72	$120.72	$181.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.65 / $120.72 / $305.54	Facility		$108.65	$120.72	$305.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $139.77 / $171.42	Professional		$108.65	$139.77	$171.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $201.20 / $319.91 / $502.26	Facility		$201.20	$319.91	$502.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $120.72 / $326.05	Professional		$90.54	$120.72	$326.05
United Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $50.70 / $120.72	Professional		$50.70	$50.70	$120.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.53 / $62.53 / $62.53	Professional		$62.53	$62.53	$62.53