Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.34 / $180.47 / $292.08	Facility		$148.34	$180.47	$292.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $155.09 / $169.92	Professional		$140.99	$155.09	$169.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $210.00 / $406.00	Facility		$140.00	$210.00	$406.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $144.21 / $182.95	Professional		$140.99	$144.21	$182.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.01 / $133.01 / $268.52	Facility		$133.01	$133.01	$268.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $172.91	Professional		$140.99	$140.99	$172.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.99 / $266.47	Facility		$140.00	$140.99	$266.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.64 / $210.92 / $369.11	Facility		$118.64	$210.92	$369.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.91 / $148.07 / $174.24	Professional		$133.91	$148.07	$174.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $168.00 / $318.10	Facility		$140.00	$168.00	$318.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $140.99	Professional		$140.99	$140.99	$140.99
United Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $169.19	Professional		$140.99	$140.99	$169.19