Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.12 / $292.13 / $680.20	Facility		$168.12	$292.13	$680.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.27 / $289.08 / $355.67	Professional		$282.27	$289.08	$355.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $152.12 / $237.24 / $458.66	Facility		$152.12	$237.24	$458.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $169.12 / $340.10	Professional		$82.60	$169.12	$340.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.08 / $378.01 / $764.12	Facility		$289.08	$378.01	$764.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.08 / $289.08 / $289.08	Professional		$289.08	$289.08	$289.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $242.34 / $289.99 / $79,999.20	Facility		$242.34	$289.99	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.56 / $255.57 / $431.07	Facility		$138.56	$255.57	$431.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $169.12 / $371.24	Professional		$152.94	$169.12	$371.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $189.79 / $458.66	Facility		$138.29	$189.79	$458.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $82.60 / $82.60	Professional		$82.60	$82.60	$82.60
United Facility/Professional Professional Modifier Low / Median / High Price $283.42 / $283.42 / $340.10	Professional		$283.42	$283.42	$340.10