Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.94 / $134.05 / $218.30	Facility		$105.94	$134.05	$218.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $115.20 / $126.99	Professional		$104.73	$115.20	$126.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $95.45 / $150.30 / $290.58	Facility		$95.45	$150.30	$290.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $106.43 / $124.61	Professional		$104.73	$106.43	$124.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.80 / $98.80 / $244.27	Facility		$98.80	$98.80	$244.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $128.44	Professional		$104.73	$104.73	$128.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $130.91 / $218.30	Facility		$104.73	$130.91	$218.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.90 / $152.72 / $267.26	Facility		$85.90	$152.72	$267.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.83 / $109.28 / $118.68	Professional		$98.83	$109.28	$118.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $92.48 / $120.22 / $223.10	Facility		$92.48	$120.22	$223.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Professional		$104.73	$104.73	$104.73
United Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $125.68	Professional		$104.73	$104.73	$125.68