Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.45 / $76.25 / $24,784.70	Facility		$37.45	$76.25	$24,784.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $37.45 / $56.02	Professional		$34.04	$37.45	$56.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $40.84 / $75.05 / $145.09	Facility		$40.84	$75.05	$145.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $47.53 / $51.78	Professional		$34.04	$47.53	$51.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.11 / $34.04 / $79.09	Facility		$32.11	$34.04	$79.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $41.75	Professional		$34.04	$34.04	$41.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $44.27 / $102.15	Facility		$34.04	$44.27	$102.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.84 / $77.51 / $135.63	Facility		$40.84	$77.51	$135.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $48.81 / $51.78	Professional		$44.14	$48.81	$51.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.45 / $62.54 / $145.09	Facility		$36.45	$62.54	$145.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $34.04	Professional		$34.04	$34.04	$34.04
United Facility/Professional Facility Modifier Low / Median / High Price $34.03 / $34.03 / $34.03	Facility		$34.03	$34.03	$34.03
United Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $34.04	Professional		$34.04	$34.04	$34.04