Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.36 / $55.08 / $82.94	Facility		$39.36	$55.08	$82.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.78 / $55.08 / $82.31	Professional		$53.78	$55.08	$82.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $53.78 / $55.08 / $243.00	Facility		$53.78	$55.08	$243.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $55.08 / $64.80	Professional		$55.08	$55.08	$64.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.08 / $55.08 / $121.84	Facility		$55.08	$55.08	$121.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Professional		$55.08	$55.08	$55.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.74 / $79,999.20 / $79,999.20	Facility		$56.74	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.78 / $53.78 / $55.08	Facility		$53.78	$53.78	$55.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.90 / $58.32 / $64.80	Professional		$49.90	$58.32	$64.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Facility		$55.08	$55.08	$55.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Professional		$55.08	$55.08	$55.08
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Professional		$54.00	$54.00	$54.00