Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $116.12 / $276.85	Facility		$76.70	$116.12	$276.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $77.41 / $158.40	Professional		$70.37	$77.41	$158.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $87.80 / $126.43 / $220.11	Facility		$87.80	$126.43	$220.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $77.88 / $77.88 / $86.54	Professional		$77.88	$77.88	$86.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.06 / $80.88 / $256.48	Facility		$77.06	$80.88	$256.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Professional		$80.88	$80.88	$80.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $63.34 / $74.59 / $146.06	Facility		$63.34	$74.59	$146.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.05 / $144.07 / $220.11	Facility		$100.05	$144.07	$220.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.76 / $78.30 / $86.54	Professional		$66.76	$78.30	$86.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87.80 / $105.36 / $165.12	Facility		$87.80	$105.36	$165.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.88 / $77.88 / $77.88	Professional		$77.88	$77.88	$77.88
United Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $81.62 / $86.68	Professional		$72.23	$81.62	$86.68