Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $317.83 / $332.14	Facility		$174.81	$317.83	$332.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $174.81 / $198.65	Professional		$158.91	$174.81	$198.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $156.63 / $256.67 / $654.50	Facility		$156.63	$256.67	$654.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $152.56 / $158.91 / $182.76	Professional		$152.56	$158.91	$182.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.91 / $149.91 / $297.52	Facility		$149.91	$149.91	$297.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $189.47	Professional		$158.91	$158.91	$189.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $198.65 / $476.76	Facility		$158.91	$198.65	$476.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.87 / $256.67 / $403.34	Facility		$140.87	$256.67	$403.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.87 / $160.83 / $286.69	Professional		$140.87	$160.83	$286.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $180.45 / $220.70 / $359.42	Facility		$180.45	$220.70	$359.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $182.76	Professional		$158.91	$158.91	$182.76
United Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $158.91 / $158.91	Professional		$63.57	$158.91	$158.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.70 / $26.70 / $26.70	Professional		$26.70	$26.70	$26.70