Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.93 / $369.50 / $534.74	Facility		$223.93	$369.50	$534.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $223.94 / $547.25	Professional		$203.58	$223.94	$547.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $323.22 / $624.89	Facility		$203.58	$323.22	$624.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $230.73 / $251.33	Professional		$203.58	$230.73	$251.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.06 / $203.58 / $409.18	Facility		$192.06	$203.58	$409.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $249.68	Professional		$203.58	$203.58	$249.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $254.48 / $610.74	Facility		$203.58	$254.48	$610.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.75 / $337.33 / $590.32	Facility		$189.75	$337.33	$590.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.25 / $236.91 / $251.33	Professional		$214.25	$236.91	$251.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $258.58 / $495.58	Facility		$203.58	$258.58	$495.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $203.58	Professional		$203.58	$203.58	$203.58
United Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $244.30	Professional		$203.58	$203.58	$244.30