Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.95 / $103.57 / $167.96	Facility		$83.95	$103.57	$167.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $89.00 / $97.71	Professional		$80.91	$89.00	$97.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $97.09 / $183.96	Facility		$77.59	$97.09	$183.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $82.27 / $93.48	Professional		$80.91	$82.27	$93.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.33 / $76.33 / $80.91	Facility		$76.33	$76.33	$80.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $99.23	Professional		$80.91	$80.91	$99.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $80.91 / $152.91	Facility		$77.59	$80.91	$152.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.42 / $121.63 / $212.85	Facility		$68.42	$121.63	$212.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $84.47 / $89.61	Professional		$76.39	$84.47	$89.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $89.00 / $155.19	Facility		$77.59	$89.00	$155.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91
United Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $80.91 / $80.91	Professional		$80.91	$80.91	$80.91