Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.05 / $380.39 / $470.65	Facility		$246.05	$380.39	$470.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $242.73 / $309.14	Professional		$225.11	$242.73	$309.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $270.13 / $536.69	Facility		$225.11	$270.13	$536.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $233.07 / $261.27	Professional		$225.11	$233.07	$261.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.37 / $212.37 / $440.64	Facility		$212.37	$212.37	$440.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $276.07	Professional		$225.11	$225.11	$276.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $281.39 / $468.40	Facility		$225.11	$281.39	$468.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.60 / $354.84 / $620.96	Facility		$199.60	$354.84	$620.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.42 / $239.31 / $256.16	Professional		$216.42	$239.31	$256.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $221.21 / $247.62 / $442.42	Facility		$221.21	$247.62	$442.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Professional		$225.11	$225.11	$225.11
United Facility/Professional Facility Modifier Low / Median / High Price $224.97 / $224.97 / $224.97	Facility		$224.97	$224.97	$224.97
United Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Professional		$225.11	$225.11	$225.11