Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.36 / $42,840.92 / $105,439.97	Facility		$65.36	$42,840.92	$105,439.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $65.36 / $150.34	Professional		$59.40	$65.36	$150.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $59.41 / $71.29 / $144.60	Facility		$59.41	$71.29	$144.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $63.76 / $82.56	Professional		$59.41	$63.76	$82.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.05 / $56.05 / $142.52	Facility		$56.05	$56.05	$142.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $72.87	Professional		$59.41	$59.41	$72.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $59.41 / $74.26 / $178.23	Facility		$59.41	$74.26	$178.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.78 / $95.60 / $167.30	Facility		$53.78	$95.60	$167.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $63.76 / $78.86	Professional		$57.66	$63.76	$78.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $59.41 / $65.34 / $120.50	Facility		$59.41	$65.34	$120.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $59.41	Professional		$59.41	$59.41	$59.41
United Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $59.41	Professional		$59.41	$59.41	$59.41