Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.06 / $121.04 / $157.79	Facility		$74.06	$121.04	$157.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $83.44 / $91.94	Professional		$75.86	$83.44	$91.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $64.44 / $101.66 / $196.53	Facility		$64.44	$101.66	$196.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $78.59 / $102.52	Professional		$75.86	$78.59	$102.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.56 / $71.56 / $175.72	Facility		$71.56	$71.56	$175.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $93.03	Professional		$75.86	$75.86	$93.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $94.83 / $227.58	Facility		$75.86	$94.83	$227.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.40 / $102.97 / $180.20	Facility		$57.40	$102.97	$180.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.08 / $78.59 / $97.64	Professional		$71.08	$78.59	$97.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $64.44 / $80.55 / $150.88	Facility		$64.44	$80.55	$150.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $91.03	Professional		$75.86	$75.86	$91.03