Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.02 / $189.51 / $935.17	Facility		$95.02	$189.51	$935.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $118.62 / $1,860.41	Professional		$86.38	$118.62	$1,860.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $137.63 / $236.58 / $453.88	Facility		$137.63	$236.58	$453.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $134.50 / $468.00	Professional		$86.38	$134.50	$468.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.48 / $81.48 / $300.64	Facility		$81.48	$81.48	$300.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $105.94	Professional		$86.38	$86.38	$105.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $107.98 / $338.31	Facility		$86.38	$107.98	$338.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.92 / $328.22 / $525.15	Facility		$166.92	$328.22	$525.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.64 / $134.50 / $468.00	Professional		$121.64	$134.50	$468.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $137.63 / $206.45 / $440.42	Facility		$137.63	$206.45	$440.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $86.38	Professional		$86.38	$86.38	$86.38
United Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $86.38	Professional		$86.38	$86.38	$86.38