Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.53 / $89.22 / $107.45	Facility		$82.53	$89.22	$107.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.21 / $82.10 / $108.38	Professional		$62.21	$82.10	$108.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.64 / $87.35 / $172.48	Facility		$55.64	$87.35	$172.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $78.92 / $122.00	Professional		$64.34	$78.92	$122.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.91 / $74.45 / $78.92	Facility		$55.91	$74.45	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $96.78	Professional		$78.92	$78.92	$96.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $74.45 / $149.16	Facility		$51.41	$74.45	$149.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.82 / $101.26 / $167.44	Facility		$53.82	$101.26	$167.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.85 / $60.65 / $122.00	Professional		$54.85	$60.65	$122.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $55.64 / $78.92 / $123.88	Facility		$55.64	$78.92	$123.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Professional		$78.92	$78.92	$78.92
United Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $94.70	Professional		$78.92	$78.92	$94.70