Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $101.54 / $129.94	Facility		$63.28	$101.54	$129.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.09 / $70.05 / $75.70	Professional		$63.09	$70.05	$75.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $59.48 / $76.42 / $133.47	Facility		$59.48	$76.42	$133.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $128.19	Professional		$63.68	$63.68	$128.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.08 / $60.08 / $137.66	Facility		$60.08	$60.08	$137.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $78.09	Professional		$63.68	$63.68	$78.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.47 / $78.09 / $132.44	Facility		$62.47	$78.09	$132.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.64 / $91.55 / $154.43	Facility		$49.64	$91.55	$154.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.69 / $61.58 / $128.19	Professional		$55.69	$61.58	$128.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.57 / $65.48 / $109.14	Facility		$54.57	$65.48	$109.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $63.68	Professional		$63.68	$63.68	$63.68
United Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $71.31	Professional		$63.68	$63.68	$71.31