Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.27 / $264.08 / $6,012.80	Facility		$144.27	$264.08	$6,012.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.15 / $144.27 / $180.12	Professional		$131.15	$144.27	$180.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $79.59 / $127.36 / $269.14	Facility		$79.59	$127.36	$269.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $392.50	Professional		$131.16	$131.16	$392.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.01 / $123.73 / $131.16	Facility		$117.01	$123.73	$131.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $160.85	Professional		$131.16	$131.16	$160.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $131.15 / $149.47 / $393.48	Facility		$131.15	$149.47	$393.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.14 / $121.64 / $325.77	Facility		$56.14	$121.64	$325.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.81 / $126.95 / $392.50	Professional		$114.81	$126.95	$392.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $79.59 / $119.40 / $230.84	Facility		$79.59	$119.40	$230.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $131.16	Professional		$131.16	$131.16	$131.16
United Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $157.38	Professional		$131.16	$131.16	$157.38