Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $232.93 / $734.62	Facility		$30.89	$232.93	$734.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $34.78 / $116.00	Professional		$18.64	$34.78	$116.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $106.29 / $199.52 / $381.88	Facility		$106.29	$199.52	$381.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $27.36 / $39.01	Professional		$19.39	$27.36	$39.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $27.42 / $45.11	Professional		$24.26	$27.42	$45.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.64 / $28.81 / $48.24	Facility		$23.64	$28.81	$48.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $19.03 / $19.64	Facility		$19.03	$19.03	$19.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $30.45 / $39.01	Professional		$19.64	$30.45	$39.01
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 $19.39 / $27.81 / $38.08	Professional		$19.39	$27.81	$38.08
United Facility/Professional Facility Modifier Low / Median / High Price $202.33 / $264.00 / $414.90	Facility		$202.33	$264.00	$414.90
United Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $29.00 / $38.28	Professional		$17.20	$29.00	$38.28