Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.17 / $54.37 / $86.11	Facility		$45.17	$54.37	$86.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $46.73 / $50.09	Professional		$42.48	$46.73	$50.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $41.93 / $62.90 / $121.60	Facility		$41.93	$62.90	$121.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $45.78 / $53.37	Professional		$42.48	$45.78	$53.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $40.07 / $85.54	Facility		$40.07	$40.07	$85.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $52.10	Professional		$42.48	$42.48	$52.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $42.48 / $80.29	Facility		$41.40	$42.48	$80.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.83 / $65.47 / $114.57	Facility		$36.83	$65.47	$114.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $47.00 / $53.37	Professional		$42.50	$47.00	$53.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.93 / $50.32 / $104.38	Facility		$41.93	$50.32	$104.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Professional		$42.48	$42.48	$42.48
United Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Professional		$42.48	$42.48	$42.48