Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $86.38 / $103.05	Facility		$47.51	$86.38	$103.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $47.51 / $65.04	Professional		$43.19	$47.51	$65.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $51.83 / $106.54	Facility		$43.19	$51.83	$106.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $45.84 / $52.02	Professional		$43.19	$45.84	$52.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $40.75 / $105.20	Facility		$40.75	$40.75	$105.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $52.97	Professional		$43.19	$43.19	$52.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $43.74 / $81.63	Facility		$43.19	$43.74	$81.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $70.44 / $123.26	Facility		$39.61	$70.44	$123.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.57 / $47.07 / $51.51	Professional		$42.57	$47.07	$51.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $47.51 / $87.48	Facility		$43.19	$47.51	$87.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $43.19	Professional		$43.19	$43.19	$43.19
United Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $43.19	Professional		$43.19	$43.19	$43.19