Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.39 / $83.99 / $150.63	Facility		$43.39	$83.99	$150.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $43.39 / $88.24	Professional		$39.45	$43.39	$88.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $39.45 / $71.30 / $430.71	Facility		$39.45	$71.30	$430.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $65.09 / $98.38	Professional		$39.45	$65.09	$98.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.21 / $37.21 / $64.95	Facility		$37.21	$37.21	$64.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $48.38	Professional		$39.45	$39.45	$48.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.44 / $49.31 / $118.35	Facility		$39.44	$49.31	$118.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.30 / $81.66 / $81.66	Facility		$71.30	$81.66	$81.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.32 / $65.59 / $98.38	Professional		$59.32	$65.59	$98.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.45 / $39.45 / $194.95	Facility		$39.45	$39.45	$194.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $39.45	Professional		$39.45	$39.45	$39.45
United Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $39.45	Professional		$39.45	$39.45	$39.45