Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.70 / $238.12 / $2,222.03	Facility		$123.70	$238.12	$2,222.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $124.93 / $462.59	Professional		$112.45	$124.93	$462.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $121.98 / $182.97 / $359.18	Facility		$121.98	$182.97	$359.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $130.93 / $432.75	Professional		$112.45	$130.93	$432.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.09 / $106.09 / $292.64	Facility		$106.09	$106.09	$292.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $137.91	Professional		$112.45	$112.45	$137.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $140.56 / $337.35	Facility		$112.45	$140.56	$337.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.57 / $211.32 / $359.18	Facility		$114.57	$211.32	$359.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.40 / $130.93 / $432.75	Professional		$118.40	$130.93	$432.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $121.98 / $152.88 / $353.74	Facility		$121.98	$152.88	$353.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Professional		$112.45	$112.45	$112.45
United Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Professional		$112.45	$112.45	$112.45