Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $158.56 / $373.08	Facility		$158.56	$158.56	$373.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.83 / $158.56 / $158.56	Professional		$154.83	$158.56	$158.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $163.55 / $245.33 / $474.30	Facility		$163.55	$245.33	$474.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $85.73 / $163.95 / $186.54	Professional		$85.73	$163.95	$186.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.63 / $158.56 / $317.12	Facility		$118.63	$158.56	$317.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $84.13 / $79,999.20 / $79,999.20	Facility		$84.13	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.19 / $261.68 / $457.94	Facility		$147.19	$261.68	$457.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.27 / $163.95 / $182.17	Professional		$140.27	$163.95	$182.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $163.55 / $196.26 / $364.14	Facility		$163.55	$196.26	$364.14
United Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $155.44 / $155.44	Professional		$155.44	$155.44	$155.44