Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.52 / $347.49 / $785.11	Facility		$187.52	$347.49	$785.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $187.52 / $560.80	Professional		$170.48	$187.52	$560.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $405.36 / $751.07 / $1,452.06	Facility		$405.36	$751.07	$1,452.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $281.29 / $570.47	Professional		$170.48	$281.29	$570.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.83 / $160.83 / $1,198.33	Facility		$160.83	$160.83	$1,198.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $209.07	Professional		$170.48	$170.48	$209.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $167.06 / $208.83 / $780.26	Facility		$167.06	$208.83	$780.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $454.19 / $811.61 / $1,420.32	Facility		$454.19	$811.61	$1,420.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.84 / $536.12 / $570.47	Professional		$484.84	$536.12	$570.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $238.08 / $600.85 / $1,114.83	Facility		$238.08	$600.85	$1,114.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $170.48	Professional		$170.48	$170.48	$170.48
United Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $170.48	Professional		$170.48	$170.48	$170.48