Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $384.00	Facility		$163.19	$163.19	$384.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.36 / $163.19 / $163.19	Professional		$159.36	$163.19	$163.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $199.27 / $380.60	Facility		$163.19	$199.27	$380.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $192.00	Professional		$163.19	$163.19	$192.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $326.39	Facility		$163.19	$163.19	$326.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.27 / $166.20 / $380.60	Facility		$141.27	$166.20	$380.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.84 / $172.80 / $192.00	Professional		$147.84	$172.80	$192.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $179.52 / $332.12	Facility		$163.19	$179.52	$332.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
United Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $192.00	Professional		$160.00	$160.00	$192.00