Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.96 / $127.96 / $207.63	Facility		$109.96	$127.96	$207.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $109.96 / $120.78	Professional		$99.97	$109.96	$120.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $99.97 / $125.59 / $241.95	Facility		$99.97	$125.59	$241.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $104.43 / $117.42	Professional		$99.97	$104.43	$117.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.31 / $94.31 / $198.08	Facility		$94.31	$94.31	$198.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $122.60	Professional		$99.97	$99.97	$122.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $124.78 / $207.94	Facility		$99.82	$124.78	$207.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.98 / $159.97 / $279.94	Facility		$89.98	$159.97	$279.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.97 / $107.23 / $117.42	Professional		$96.97	$107.23	$117.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $99.35 / $109.97 / $198.70	Facility		$99.35	$109.97	$198.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Professional		$99.97	$99.97	$99.97
United Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Professional		$99.97	$99.97	$99.97