Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.49 / $79.23 / $169.29	Facility		$34.49	$79.23	$169.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $43.50 / $48.02	Professional		$39.54	$43.50	$48.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $43.39 / $360.55	Facility		$39.54	$43.39	$360.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $33.09 / $39.54 / $86.40	Professional		$33.09	$39.54	$86.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $37.29 / $64.18	Facility		$37.29	$37.29	$64.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $48.50	Professional		$39.54	$39.54	$48.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $49.53 / $82.24	Facility		$39.54	$49.53	$82.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.39 / $71.70 / $71.70	Facility		$43.39	$71.70	$71.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $33.09 / $86.40	Professional		$28.20	$33.09	$86.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $39.54 / $79.92	Facility		$39.54	$39.54	$79.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Professional		$39.54	$39.54	$39.54
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Professional		$39.54	$39.54	$39.54