Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.05 / $284.01 / $10,168.20	Facility		$181.05	$284.01	$10,168.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $181.05 / $445.69	Professional		$164.59	$181.05	$445.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $197.51 / $410.19	Facility		$164.59	$197.51	$410.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $179.98 / $233.88	Professional		$164.59	$179.98	$233.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.27 / $155.27 / $326.60	Facility		$155.27	$155.27	$326.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $201.85	Professional		$164.59	$164.59	$201.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $210.16 / $349.71	Facility		$164.59	$210.16	$349.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.55 / $271.20 / $474.60	Facility		$152.55	$271.20	$474.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.76 / $179.98 / $227.07	Professional		$162.76	$179.98	$227.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $181.05 / $336.44	Facility		$164.59	$181.05	$336.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $164.59	Professional		$164.59	$164.59	$164.59
United Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $164.59	Professional		$164.59	$164.59	$164.59