Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.73 / $95.19 / $7,611.20	Facility		$54.73	$95.19	$7,611.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $61.02 / $4,349.20	Professional		$50.74	$61.02	$4,349.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $48.67 / $60.89 / $116.86	Facility		$48.67	$60.89	$116.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $53.46 / $108.62	Professional		$50.74	$53.46	$108.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.87 / $47.87 / $119.50	Facility		$47.87	$47.87	$119.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $62.22	Professional		$50.74	$50.74	$62.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.43 / $63.04 / $105.54	Facility		$50.43	$63.04	$105.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.46 / $80.16 / $135.21	Facility		$43.46	$80.16	$135.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.35 / $56.72 / $108.62	Professional		$48.35	$56.72	$108.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.99 / $55.81 / $97.34	Facility		$47.99	$55.81	$97.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $50.74	Professional		$50.74	$50.74	$50.74
United Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $56.83	Professional		$50.74	$50.74	$56.83