Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.13 / $508.06 / $785.49	Facility		$208.13	$508.06	$785.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $200.69 / $267.92	Professional		$182.45	$200.69	$267.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $284.19 / $549.42	Facility		$182.45	$284.19	$549.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $194.60 / $301.04	Professional		$182.45	$194.60	$301.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.12 / $172.12 / $446.64	Facility		$172.12	$172.12	$446.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $223.76	Professional		$182.45	$182.45	$223.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $228.06 / $407.24	Facility		$182.45	$228.06	$407.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.65 / $301.39 / $527.42	Facility		$167.65	$301.39	$527.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.70 / $199.81 / $211.98	Professional		$180.70	$199.81	$211.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $227.35 / $491.33	Facility		$182.45	$227.35	$491.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45
United Facility/Professional Facility Modifier Low / Median / High Price $182.33 / $182.33 / $182.33	Facility		$182.33	$182.33	$182.33
United Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45