Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $186.93 / $439.84	Facility		$186.93	$186.93	$439.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.53 / $186.93 / $186.93	Professional		$182.53	$186.93	$186.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $114.24 / $171.36 / $331.30	Facility		$114.24	$171.36	$331.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $197.93 / $219.92	Professional		$10.44	$197.93	$219.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.32 / $186.93 / $373.86	Facility		$25.32	$186.93	$373.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Professional		$186.93	$186.93	$186.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $142.74 / $79,999.20 / $79,999.20	Facility		$142.74	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.10 / $182.53 / $261.61	Facility		$97.10	$182.53	$261.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.34 / $197.93 / $219.92	Professional		$169.34	$197.93	$219.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $114.24 / $171.17 / $331.30	Facility		$114.24	$171.17	$331.30
United Facility/Professional Facility Modifier Low / Median / High Price $183.26 / $183.26 / $183.26	Facility		$183.26	$183.26	$183.26
United Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $183.26	Professional		$183.26	$183.26	$183.26