Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.39 / $102.15 / $170.75	Facility		$62.39	$102.15	$170.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $87.53 / $5,512.65	Professional		$78.80	$87.53	$5,512.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $96.03 / $189.97	Facility		$78.80	$96.03	$189.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $86.68 / $88.34 / $134.56	Professional		$86.68	$88.34	$134.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $74.33 / $162.02	Facility		$74.33	$74.33	$162.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $78.79 / $96.64	Professional		$78.79	$78.79	$96.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.79 / $98.50 / $169.57	Facility		$78.79	$98.50	$169.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.87 / $125.60 / $219.80	Facility		$69.87	$125.60	$219.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $93.72 / $134.56	Professional		$79.89	$93.72	$134.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.77 / $86.68 / $159.80	Facility		$77.77	$86.68	$159.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $86.68 / $86.68 / $86.68	Professional		$86.68	$86.68	$86.68
United Facility/Professional Facility Modifier Low / Median / High Price $78.75 / $78.75 / $78.75	Facility		$78.75	$78.75	$78.75
United Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $78.80 / $88.26	Professional		$78.80	$78.80	$88.26