Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.81 / $47.81 / $82.85	Facility		$43.81	$47.81	$82.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $43.81 / $54.69	Professional		$39.83	$43.81	$54.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $59.82 / $115.65	Facility		$39.83	$59.82	$115.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $45.88	Professional		$39.83	$39.83	$45.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.57 / $37.57 / $96.68	Facility		$37.57	$37.57	$96.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $48.84	Professional		$39.83	$39.83	$48.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $49.79 / $82.85	Facility		$39.82	$49.79	$82.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $63.77 / $111.60	Facility		$35.86	$63.77	$111.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $43.25 / $45.88	Professional		$39.11	$43.25	$45.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.85 / $47.86 / $100.00	Facility		$39.85	$47.86	$100.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83
United Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83