Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $73.81 / $73.81	Facility		$73.81	$73.81	$73.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $101.37	Professional		$73.81	$73.81	$101.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $92.38 / $133.02 / $221.70	Facility		$92.38	$133.02	$221.70
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $77.70 / $109.60	Professional		$73.81	$77.70	$109.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.52 / $72.52 / $145.04	Facility		$72.52	$72.52	$145.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $72.52 / $72.52	Professional		$72.52	$72.52	$72.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $78.25 / $130.22	Facility		$73.81	$78.25	$130.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.13 / $139.86 / $252.53	Facility		$97.13	$139.86	$252.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.94 / $73.81 / $81.59	Professional		$62.94	$73.81	$81.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $92.38 / $110.85 / $210.62	Facility		$92.38	$110.85	$210.62
United Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $83.42 / $88.58	Professional		$73.81	$83.42	$88.58