Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.75 / $394.81 / $476.00	Facility		$218.75	$394.81	$476.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $227.25 / $250.42	Professional		$206.59	$227.25	$250.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $197.28 / $247.91 / $477.41	Facility		$197.28	$247.91	$477.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $213.05 / $238.41	Professional		$206.59	$213.05	$238.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.90 / $194.90 / $488.98	Facility		$194.90	$194.90	$488.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $253.36	Professional		$206.59	$206.59	$253.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $206.59 / $258.24 / $429.71	Facility		$206.59	$258.24	$429.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.55 / $315.64 / $552.38	Facility		$177.55	$315.64	$552.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.84 / $218.76 / $232.08	Professional		$197.84	$218.76	$232.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $194.92 / $227.25 / $403.34	Facility		$194.92	$227.25	$403.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $206.59	Professional		$206.59	$206.59	$206.59
United Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $206.59	Professional		$206.59	$206.59	$206.59