Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.85 / $248.01 / $394.68	Facility		$198.85	$248.01	$394.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $213.13 / $229.60	Professional		$193.76	$213.13	$229.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $179.14 / $273.99 / $529.71	Facility		$179.14	$273.99	$529.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $196.85 / $223.74	Professional		$193.76	$196.85	$223.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.79 / $182.79 / $372.62	Facility		$182.79	$182.79	$372.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $237.63	Professional		$193.76	$193.76	$237.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $182.66 / $193.76 / $366.21	Facility		$182.66	$193.76	$366.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.22 / $286.62 / $501.59	Facility		$161.22	$286.62	$501.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.79 / $202.12 / $214.43	Professional		$182.79	$202.12	$214.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $182.19 / $219.19 / $412.42	Facility		$182.19	$219.19	$412.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76
United Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76