Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $75.98 / $178.80	Facility		$75.98	$75.98	$178.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $75.98 / $75.98	Professional		$74.20	$75.98	$75.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $106.61 / $206.10	Facility		$71.06	$106.61	$206.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $75.98 / $89.40	Professional		$75.98	$75.98	$89.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $75.98 / $151.97	Facility		$75.98	$75.98	$151.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Professional		$75.98	$75.98	$75.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $79,999.20 / $79,999.20	Facility		$71.06	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.29 / $75.98 / $165.11	Facility		$61.29	$75.98	$165.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $80.45 / $89.40	Professional		$68.84	$80.45	$89.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $85.28 / $191.51	Facility		$71.06	$85.28	$191.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Professional		$75.98	$75.98	$75.98
United Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $74.50 / $74.50	Professional		$74.50	$74.50	$74.50