Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.83 / $101.03 / $163.13	Facility		$86.83	$101.03	$163.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $86.83 / $94.90	Professional		$78.93	$86.83	$94.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $120.74 / $233.42	Facility		$80.48	$120.74	$233.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $85.01 / $96.00	Professional		$78.93	$85.01	$96.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.47 / $74.47 / $78.93	Facility		$74.47	$74.47	$78.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $96.81	Professional		$78.93	$78.93	$96.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.43 / $78.93 / $149.18	Facility		$78.43	$78.93	$149.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.70 / $129.25 / $226.19	Facility		$72.70	$129.25	$226.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $87.30 / $96.00	Professional		$78.95	$87.30	$96.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $96.59 / $207.24	Facility		$80.48	$96.59	$207.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93