Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $98.93 / $213.52	Facility		$39.81	$98.93	$213.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.67 / $52.50 / $137.91	Professional		$38.67	$52.50	$137.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $45.55 / $56.42 / $170.54	Facility		$45.55	$56.42	$170.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $44.46 / $52.24 / $59.24	Professional		$44.46	$52.24	$59.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.56 / $37.56 / $109.20	Facility		$37.56	$37.56	$109.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $54.60 / $54.60	Professional		$54.60	$54.60	$54.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $41.21 / $82.41	Facility		$38.29	$41.21	$82.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.55 / $45.55 / $56.42	Facility		$45.55	$45.55	$56.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $44.46 / $59.24	Professional		$37.90	$44.46	$59.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.24 / $52.24 / $52.24	Facility		$52.24	$52.24	$52.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.24 / $52.24 / $52.24	Professional		$52.24	$52.24	$52.24
United Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $55.43 / $58.86	Professional		$49.05	$55.43	$58.86