Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.07 / $211.83 / $22,188.33	Facility		$176.07	$211.83	$22,188.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $189.44 / $208.39	Professional		$172.22	$189.44	$208.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $155.91 / $236.21 / $456.66	Facility		$155.91	$236.21	$456.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $199.13	Professional		$172.22	$172.22	$199.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.47 / $162.47 / $393.89	Facility		$162.47	$162.47	$393.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $211.21	Professional		$172.22	$172.22	$211.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $157.47 / $172.22 / $356.85	Facility		$157.47	$172.22	$356.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.27 / $244.98 / $428.72	Facility		$136.27	$244.98	$428.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.37 / $176.23 / $187.86	Professional		$159.37	$176.23	$187.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $152.69 / $188.96 / $350.61	Facility		$152.69	$188.96	$350.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $172.22	Professional		$172.22	$172.22	$172.22
United Facility/Professional Facility Modifier Low / Median / High Price $162.46 / $162.46 / $162.46	Facility		$162.46	$162.46	$162.46
United Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $172.22	Professional		$172.22	$172.22	$172.22