Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $54.31 / $127.06	Facility		$54.00	$54.31	$127.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.73 / $54.00 / $88.92	Professional		$52.73	$54.00	$88.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $64.80 / $135.80	Facility		$54.00	$64.80	$135.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $63.53	Professional		$54.00	$54.00	$63.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $108.00 / $140.24	Facility		$54.00	$108.00	$140.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Professional		$54.00	$54.00	$54.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.94 / $89.79 / $157.12	Facility		$49.94	$89.79	$157.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $57.18 / $63.53	Professional		$48.92	$57.18	$63.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $59.40 / $112.24	Facility		$54.00	$59.40	$112.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Professional		$54.00	$54.00	$54.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $52.94 / $59.29	Professional		$52.94	$52.94	$59.29