Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.46 / $493.67 / $1,326.07	Facility		$29.46	$493.67	$1,326.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $33.01 / $416.35	Professional		$30.01	$33.01	$416.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $35.96 / $74.31	Facility		$22.55	$35.96	$74.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $30.01 / $36.90	Professional		$29.10	$30.01	$36.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $28.31 / $55.64	Facility		$28.31	$28.31	$55.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $36.81	Professional		$30.01	$30.01	$36.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.97 / $30.01 / $56.72	Facility		$23.97	$30.01	$56.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.34 / $34.77 / $60.84	Facility		$19.34	$34.77	$60.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $29.10 / $30.87	Professional		$26.31	$29.10	$30.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.97 / $29.47 / $53.37	Facility		$23.97	$29.47	$53.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Professional		$30.01	$30.01	$30.01
United Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Professional		$30.01	$30.01	$30.01