Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $87.31 / $132.46	Facility		$46.87	$87.31	$132.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $46.87 / $79.98	Professional		$45.77	$46.87	$79.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $40.94 / $61.41 / $126.91	Facility		$40.94	$61.41	$126.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $55.14 / $71.56	Professional		$46.87	$55.14	$71.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $93.74 / $117.20	Facility		$46.87	$93.74	$117.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $46.87 / $46.87	Professional		$46.87	$46.87	$46.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.44 / $65.51 / $114.63	Facility		$36.44	$65.51	$114.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $49.63 / $55.14	Professional		$42.46	$49.63	$55.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.94 / $54.23 / $118.73	Facility		$40.94	$54.23	$118.73
United Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $45.95 / $55.14	Professional		$45.95	$45.95	$55.14