Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.82 / $34.61 / $70.41	Facility		$28.82	$34.61	$70.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $9.00 / $56.15	Professional		$3.00	$9.00	$56.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.68 / $199.52 / $381.88	Facility		$75.68	$199.52	$381.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $31.81 / $45.36	Professional		$22.64	$31.81	$45.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $20.98 / $32.58	Professional		$16.82	$20.98	$32.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $32.96 / $48.24	Facility		$25.46	$32.96	$48.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $22.20 / $22.85	Facility		$22.20	$22.20	$22.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $35.51 / $45.36	Professional		$22.85	$35.51	$45.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $129.44 / $199.52 / $381.88	Facility		$129.44	$199.52	$381.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $32.44 / $44.28	Professional		$22.64	$32.44	$44.28
United Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $22.05 / $42.92	Professional		$14.44	$22.05	$42.92