Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.46 / $45.46 / $106.96	Facility		$45.46	$45.46	$106.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $45.46 / $45.46	Professional		$44.39	$45.46	$45.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $47.24 / $70.86 / $146.44	Facility		$47.24	$70.86	$146.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.46 / $45.46 / $133.84	Facility		$45.46	$45.46	$133.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $45.46 / $45.46	Professional		$45.46	$45.46	$45.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.48 / $79,999.20 / $79,999.20	Facility		$44.48	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $69.92 / $108.18	Facility		$40.15	$69.92	$108.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.24 / $59.05 / $105.18	Facility		$47.24	$59.05	$105.18