Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.69 / $243.00 / $361.02	Facility		$135.69	$243.00	$361.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $135.69 / $181.15	Professional		$123.35	$135.69	$181.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $130.41 / $505.07	Facility		$123.36	$130.41	$505.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $124.10 / $156.46	Professional		$123.36	$124.10	$156.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.38 / $116.38 / $286.52	Facility		$116.38	$116.38	$286.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $151.29	Professional		$123.36	$123.36	$151.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $154.19 / $370.08	Facility		$123.36	$154.19	$370.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.86 / $129.86 / $134.88	Facility		$129.86	$129.86	$134.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.23 / $124.10 / $156.46	Professional		$112.23	$124.10	$156.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Facility		$123.36	$123.36	$123.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
United Facility/Professional Facility Modifier Low / Median / High Price $336.66 / $336.66 / $336.66	Facility		$336.66	$336.66	$336.66
United Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36