Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.83 / $52.52 / $33,026.74	Facility		$32.83	$52.52	$33,026.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $29.84 / $32.83	Professional		$29.58	$29.84	$32.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $42.34 / $64.23 / $124.56	Facility		$42.34	$64.23	$124.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $33.29 / $88.93	Professional		$29.84	$33.29	$88.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.15 / $29.84 / $30.68	Facility		$28.15	$29.84	$30.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $36.60	Professional		$29.84	$29.84	$36.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $29.84 / $62.07	Facility		$24.45	$29.84	$62.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.90 / $78.04 / $136.58	Facility		$43.90	$78.04	$136.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.11 / $35.32 / $88.93	Professional		$30.11	$35.32	$88.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.34 / $60.89 / $122.79	Facility		$42.34	$60.89	$122.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $29.84	Professional		$29.84	$29.84	$29.84
United Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $29.84	Professional		$29.84	$29.84	$29.84