Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.83 / $310.61 / $730.84	Facility		$307.83	$310.61	$730.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.30 / $310.61 / $504.04	Professional		$303.30	$310.61	$504.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $152.86 / $346.17 / $665.86	Facility		$152.86	$346.17	$665.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $95.76 / $95.76 / $365.42	Professional		$95.76	$95.76	$365.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $453.40 / $963.04	Facility		$310.61	$453.40	$963.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.61 / $310.61 / $310.61	Professional		$310.61	$310.61	$310.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $355.11 / $79,999.20 / $79,999.20	Facility		$355.11	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.22 / $313.89 / $532.69	Facility		$171.22	$313.89	$532.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.37 / $328.88 / $365.42	Professional		$281.37	$328.88	$365.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $133.57 / $276.94 / $669.26	Facility		$133.57	$276.94	$669.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.76 / $95.76 / $95.76	Professional		$95.76	$95.76	$95.76
United Facility/Professional Professional Modifier Low / Median / High Price $298.30 / $298.30 / $357.96	Professional		$298.30	$298.30	$357.96