Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.52 / $468.00 / $468.00	Facility		$299.52	$468.00	$468.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.22 / $198.90 / $233.06	Professional		$194.22	$198.90	$233.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $148.86 / $223.29 / $461.47	Facility		$148.86	$223.29	$461.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $341.05	Professional		$234.00	$234.00	$341.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.70 / $206.70 / $826.80	Facility		$206.70	$206.70	$826.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $253.50	Professional		$206.70	$206.70	$253.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $152.19 / $79,999.20 / $79,999.20	Facility		$152.19	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.53 / $220.31 / $340.89	Facility		$126.53	$220.31	$340.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $148.86 / $178.63 / $397.48	Facility		$148.86	$178.63	$397.48
United Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $234.00	Professional		$234.00	$234.00	$234.00