Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.67 / $112.14 / $15,071.76	Facility		$61.67	$112.14	$15,071.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $61.67 / $4,744.22	Professional		$56.07	$61.67	$4,744.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $64.95 / $125.84	Facility		$52.00	$64.95	$125.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $58.02 / $64.75	Professional		$56.07	$58.02	$64.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.89 / $52.89 / $133.16	Facility		$52.89	$52.89	$133.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $68.76	Professional		$56.07	$56.07	$68.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.01 / $70.01 / $116.63	Facility		$56.01	$70.01	$116.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.80 / $83.20 / $145.59	Facility		$46.80	$83.20	$145.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $59.57 / $63.20	Professional		$53.87	$59.57	$63.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50.93 / $61.68 / $108.26	Facility		$50.93	$61.68	$108.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $56.07	Professional		$56.07	$56.07	$56.07
United Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $56.07	Professional		$56.07	$56.07	$56.07