Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.37 / $193.14 / $293.27	Facility		$140.37	$193.14	$293.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $155.76 / $194.45	Professional		$141.60	$155.76	$194.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $124.33 / $155.76 / $300.87	Facility		$124.33	$155.76	$300.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $143.57 / $171.07	Professional		$141.60	$143.57	$171.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.59 / $133.59 / $329.51	Facility		$133.59	$133.59	$329.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $173.67	Professional		$141.60	$141.60	$173.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $176.25 / $294.52	Facility		$141.00	$176.25	$294.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.89 / $198.92 / $348.11	Facility		$111.89	$198.92	$348.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.32 / $147.41 / $156.38	Professional		$133.32	$147.41	$156.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $121.51 / $151.88 / $253.10	Facility		$121.51	$151.88	$253.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
United Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60