Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.56 / $54.21 / $98.04	Facility		$35.56	$54.21	$98.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $54.21 / $58.23	Professional		$47.38	$54.21	$58.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $40.45 / $49.28 / $170.63	Facility		$40.45	$49.28	$170.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $49.28 / $58.96	Professional		$41.94	$49.28	$58.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.49 / $46.49 / $84.64	Facility		$46.49	$46.49	$84.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $60.44	Professional		$49.28	$49.28	$60.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.91 / $58.64 / $102.50	Facility		$46.91	$58.64	$102.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.45 / $40.45 / $40.84	Facility		$40.45	$40.45	$40.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.93 / $41.94 / $48.73	Professional		$37.93	$41.94	$48.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Facility		$49.28	$49.28	$49.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Professional		$49.28	$49.28	$49.28
United Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Professional		$49.28	$49.28	$49.28