Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.72 / $94.69 / $160.72	Facility		$69.72	$94.69	$160.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $85.13 / $93.65	Professional		$77.39	$85.13	$93.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $72.95 / $85.13 / $167.08	Facility		$72.95	$85.13	$167.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $80.97 / $90.32	Professional		$77.39	$80.97	$90.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.01 / $73.01 / $154.60	Facility		$73.01	$73.01	$154.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $94.91	Professional		$77.39	$77.39	$94.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.26 / $96.59 / $160.97	Facility		$77.26	$96.59	$160.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.02 / $80.97 / $167.08	Facility		$62.02	$80.97	$167.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $83.13 / $88.19	Professional		$75.18	$83.13	$88.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $72.95 / $85.13 / $150.34	Facility		$72.95	$85.13	$150.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $77.39	Professional		$77.39	$77.39	$77.39
United Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $77.39 / $86.68	Professional		$77.39	$77.39	$86.68