Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.54 / $422.83 / $509.79	Facility		$241.54	$422.83	$509.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $232.56 / $278.62	Professional		$230.15	$232.56	$278.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $218.34 / $276.18 / $528.39	Facility		$218.34	$276.18	$528.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $236.17 / $268.32	Professional		$230.15	$236.17	$268.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.13 / $217.13 / $542.04	Facility		$217.13	$217.13	$542.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $282.26	Professional		$230.15	$230.15	$282.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $230.15 / $287.69 / $478.71	Facility		$230.15	$287.69	$478.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.51 / $349.35 / $611.35	Facility		$196.51	$349.35	$611.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.30 / $242.50 / $257.26	Professional		$219.30	$242.50	$257.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $215.38 / $253.17 / $445.86	Facility		$215.38	$253.17	$445.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $230.15	Professional		$230.15	$230.15	$230.15
United Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $230.15	Professional		$230.15	$230.15	$230.15