Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.31 / $133.28 / $149.77	Facility		$73.31	$133.28	$149.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $73.31 / $86.71	Professional		$66.64	$73.31	$86.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $62.78 / $94.17 / $182.06	Facility		$62.78	$94.17	$182.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $71.53 / $106.79	Professional		$66.64	$71.53	$106.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.87 / $62.87 / $159.90	Facility		$62.87	$62.87	$159.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $81.73	Professional		$66.64	$66.64	$81.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $71.66 / $138.31	Facility		$66.64	$71.66	$138.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.66 / $95.39 / $166.93	Facility		$53.66	$95.39	$166.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $71.53 / $106.79	Professional		$64.69	$71.53	$106.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $62.78 / $75.34 / $169.05	Facility		$62.78	$75.34	$169.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64
United Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Facility		$66.64	$66.64	$66.64
United Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $74.64	Professional		$66.64	$66.64	$74.64