Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.41 / $111.03 / $141.41	Facility		$67.41	$111.03	$141.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $72.19 / $89.25	Professional		$65.63	$72.19	$89.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $61.85 / $77.14 / $151.38	Facility		$61.85	$77.14	$151.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $67.69 / $76.76	Professional		$65.63	$67.69	$76.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.91 / $61.91 / $155.37	Facility		$61.91	$61.91	$155.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $80.48	Professional		$65.63	$65.63	$80.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $65.62 / $82.04 / $136.51	Facility		$65.62	$82.04	$136.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.30 / $100.09 / $175.16	Facility		$56.30	$100.09	$175.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.86 / $69.51 / $74.52	Professional		$62.86	$69.51	$74.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $60.73 / $72.19 / $128.56	Facility		$60.73	$72.19	$128.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Professional		$65.63	$65.63	$65.63
United Facility/Professional Facility Modifier Low / Median / High Price $105.40 / $105.40 / $105.40	Facility		$105.40	$105.40	$105.40
United Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Professional		$65.63	$65.63	$65.63