Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.82 / $165.73 / $269.52	Facility		$140.82	$165.73	$269.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $142.43 / $177.81	Professional		$129.47	$142.43	$177.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $127.10 / $155.38 / $307.58	Facility		$127.10	$155.38	$307.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $135.96 / $148.11	Professional		$129.47	$135.96	$148.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $122.15 / $259.00	Facility		$122.15	$122.15	$259.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $158.80	Professional		$129.47	$129.47	$158.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $127.39 / $129.57 / $244.72	Facility		$127.39	$129.57	$244.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.39 / $203.36 / $355.89	Facility		$114.39	$203.36	$355.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.26 / $139.61 / $148.11	Professional		$126.26	$139.61	$148.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $127.39 / $142.43 / $254.78	Facility		$127.39	$142.43	$254.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47
United Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47