Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.94 / $78.50 / $100.71	Facility		$53.94	$78.50	$100.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $53.94 / $58.69	Professional		$49.03	$53.94	$58.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $48.47 / $75.11 / $145.19	Facility		$48.47	$75.11	$145.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $52.21 / $57.05	Professional		$49.03	$52.21	$57.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.26 / $46.26 / $119.84	Facility		$46.26	$46.26	$119.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $60.13	Professional		$49.03	$49.03	$60.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.42 / $60.53 / $101.98	Facility		$48.42	$60.53	$101.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.42 / $81.16 / $142.03	Facility		$45.42	$81.16	$142.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $53.61 / $57.05	Professional		$48.48	$53.61	$57.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.47 / $60.08 / $111.48	Facility		$48.47	$60.08	$111.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $49.03	Professional		$49.03	$49.03	$49.03
United Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $49.03	Professional		$49.03	$49.03	$49.03