Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $248.50 / $777.20	Facility		$27.86	$248.50	$777.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $27.86 / $493.41	Professional		$25.33	$27.86	$493.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $43.87 / $203.86 / $558.16	Facility		$43.87	$203.86	$558.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $38.93 / $43.72	Professional		$25.33	$38.93	$43.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $25.33 / $49.96	Facility		$23.90	$25.33	$49.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $31.07	Professional		$25.33	$25.33	$31.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $83.15 / $686.48	Facility		$25.33	$83.15	$686.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.87 / $285.26 / $605.09	Facility		$43.87	$285.26	$605.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $40.22 / $52.85	Professional		$36.38	$40.22	$52.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $127.41 / $191.12 / $546.36	Facility		$127.41	$191.12	$546.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $25.33	Professional		$25.33	$25.33	$25.33
United Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $30.40	Professional		$25.33	$25.33	$30.40