Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $98.46 / $9,998.69	Facility		$53.85	$98.46	$9,998.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $53.86 / $67.23	Professional		$48.96	$53.86	$67.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $59.50 / $120.48	Facility		$48.96	$59.50	$120.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $53.86 / $87.60	Professional		$53.86	$53.86	$87.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.19 / $46.19 / $118.85	Facility		$46.19	$46.19	$118.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $60.05	Professional		$48.96	$48.96	$60.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.03 / $60.04 / $101.84	Facility		$48.03	$60.04	$101.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.81 / $79.66 / $139.40	Facility		$44.81	$79.66	$139.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.08 / $53.16 / $87.60	Professional		$48.08	$53.16	$87.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $53.86 / $99.16	Facility		$48.96	$53.86	$99.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.86 / $53.86 / $53.86	Professional		$53.86	$53.86	$53.86
United Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $54.84	Professional		$48.96	$48.96	$54.84