Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.18 / $118.90 / $1,238.42	Facility		$33.18	$118.90	$1,238.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $33.18 / $55.94	Professional		$30.17	$33.18	$55.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $49.23 / $181.25	Facility		$30.17	$49.23	$181.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $33.36 / $48.13	Professional		$30.17	$33.36	$48.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $28.46 / $58.88	Facility		$28.46	$28.46	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $37.00	Professional		$30.17	$30.17	$37.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $34.20 / $90.51	Facility		$27.36	$34.20	$90.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.27 / $39.95 / $39.95	Facility		$36.27	$39.95	$39.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $35.40 / $48.13	Professional		$30.18	$35.40	$48.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $39.38 / $51.19	Facility		$30.17	$39.38	$51.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $30.17	Professional		$30.17	$30.17	$30.17
United Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $30.17	Professional		$30.17	$30.17	$30.17