Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.35 / $212.26 / $336.88	Facility		$165.35	$212.26	$336.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.57 / $182.41 / $195.97	Professional		$163.57	$182.41	$195.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $148.94 / $229.74 / $444.16	Facility		$148.94	$229.74	$444.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $197.07	Professional		$165.83	$165.83	$197.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.97 / $156.44 / $326.74	Facility		$155.97	$156.44	$326.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $203.38	Professional		$165.83	$165.83	$203.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $161.94 / $202.45 / $497.49	Facility		$161.94	$202.45	$497.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.56 / $238.31 / $417.04	Facility		$132.56	$238.31	$417.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.03 / $169.21 / $185.04	Professional		$153.03	$169.21	$185.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $139.22 / $176.13 / $341.01	Facility		$139.22	$176.13	$341.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
United Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83