Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.19 / $170.66 / $262.58	Facility		$140.19	$170.66	$262.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $140.19 / $153.00	Professional		$127.45	$140.19	$153.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $186.24 / $393.83	Facility		$127.45	$186.24	$393.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $144.49 / $210.29	Professional		$127.45	$144.49	$210.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $120.24 / $262.92	Facility		$120.24	$120.24	$262.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $156.31	Professional		$127.45	$127.45	$156.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $157.80 / $382.35	Facility		$126.24	$157.80	$382.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.59 / $225.05 / $393.83	Facility		$126.59	$225.05	$393.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $144.49 / $206.85	Professional		$130.66	$144.49	$206.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $143.26 / $267.10	Facility		$127.45	$143.26	$267.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45