Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $59.66 / $85.98	Facility		$28.31	$59.66	$85.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $43.41 / $51.14	Professional		$34.47	$43.41	$51.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $43.41 / $49.80 / $221.08	Facility		$43.41	$49.80	$221.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $52.90 / $60.00	Professional		$43.41	$52.90	$60.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $40.95 / $100.14	Facility		$40.95	$40.95	$100.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $53.24	Professional		$43.41	$43.41	$53.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.11 / $48.61 / $90.29	Facility		$34.11	$48.61	$90.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.80 / $49.80 / $52.90	Facility		$49.80	$49.80	$52.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.12 / $54.31 / $60.00	Professional		$49.12	$54.31	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.41 / $43.41 / $43.41	Facility		$43.41	$43.41	$43.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $43.41	Professional		$43.41	$43.41	$43.41
United Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $43.41	Professional		$43.41	$43.41	$43.41