Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.28 / $157.24 / $12,279.42	Facility		$98.28	$157.24	$12,279.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $98.28 / $7,430.32	Professional		$89.34	$98.28	$7,430.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.13 / $89.34 / $200.23	Facility		$55.13	$89.34	$200.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $89.34 / $641.79	Professional		$23.00	$89.34	$641.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $84.29 / $84.29	Facility		$19.98	$84.29	$84.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $109.57	Professional		$89.34	$89.34	$109.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.13 / $89.34 / $168.85	Facility		$55.13	$89.34	$168.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.08 / $91.22 / $378.46	Facility		$43.08	$91.22	$378.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $23.00 / $641.79	Professional		$19.60	$23.00	$641.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $55.13 / $88.21 / $200.23	Facility		$55.13	$88.21	$200.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
United Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $19.98 / $19.98	Facility		$19.98	$19.98	$19.98
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $111.68	Professional		$89.34	$89.34	$111.68