Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.99 / $203.22 / $395.84	Facility		$125.99	$203.22	$395.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $125.99 / $321.02	Professional		$114.54	$125.99	$321.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $119.80 / $179.70 / $457.24	Facility		$119.80	$179.70	$457.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $106.04 / $114.54 / $573.60	Professional		$106.04	$114.54	$573.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.05 / $108.05 / $250.60	Facility		$108.05	$108.05	$250.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $140.47	Professional		$114.54	$114.54	$140.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.70 / $129.66 / $343.62	Facility		$97.70	$129.66	$343.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.58 / $216.86 / $457.24	Facility		$117.58	$216.86	$457.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $99.96 / $573.60	Professional		$90.40	$99.96	$573.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $117.38 / $152.59 / $349.45	Facility		$117.38	$152.59	$349.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Professional		$114.54	$114.54	$114.54
United Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Professional		$114.54	$114.54	$114.54