Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.43 / $234.72 / $127,111.98	Facility		$124.43	$234.72	$127,111.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $129.10 / $141.80	Professional		$117.36	$129.10	$141.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $112.29 / $140.61 / $271.23	Facility		$112.29	$140.61	$271.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $122.00 / $135.29	Professional		$117.36	$122.00	$135.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.72 / $110.72 / $232.94	Facility		$110.72	$110.72	$232.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $143.93	Professional		$117.36	$117.36	$143.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.19 / $146.49 / $244.11	Facility		$117.19	$146.49	$244.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.87 / $179.33 / $313.82	Facility		$100.87	$179.33	$313.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.29 / $125.27 / $135.29	Professional		$113.29	$125.27	$135.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $112.28 / $129.10 / $224.56	Facility		$112.28	$129.10	$224.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
United Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36