Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.18 / $135.65 / $1,132.26	Facility		$64.18	$135.65	$1,132.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $69.37 / $233.21	Professional		$38.83	$69.37	$233.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.67 / $151.01 / $317.19	Facility		$100.67	$151.01	$317.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $87.74 / $329.11	Professional		$63.06	$87.74	$329.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.49 / $63.06 / $161.91	Facility		$59.49	$63.06	$161.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $77.34	Professional		$63.06	$63.06	$77.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $63.06 / $189.18	Facility		$32.09	$63.06	$189.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.21 / $189.84 / $302.42	Facility		$97.21	$189.84	$302.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $87.74 / $329.11	Professional		$79.34	$87.74	$329.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $100.67 / $148.07 / $317.19	Facility		$100.67	$148.07	$317.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $63.06	Professional		$63.06	$63.06	$63.06
United Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $75.67	Professional		$63.06	$63.06	$75.67