Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.40 / $93.18 / $116.67	Facility		$55.40	$93.18	$116.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $55.40 / $67.98	Professional		$50.37	$55.40	$67.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.41 / $90.00 / $174.00	Facility		$55.41	$90.00	$174.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $63.42 / $75.51	Professional		$55.41	$63.42	$75.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.51 / $50.37 / $119.76	Facility		$47.51	$50.37	$119.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $61.77	Professional		$50.37	$50.37	$61.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $62.96 / $151.11	Facility		$50.37	$62.96	$151.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.39 / $94.91 / $166.09	Facility		$53.39	$94.91	$166.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $65.11 / $74.03	Professional		$58.88	$65.11	$74.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $55.41 / $72.00 / $133.59	Facility		$55.41	$72.00	$133.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $55.41 / $55.41	Professional		$55.41	$55.41	$55.41
United Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $60.44	Professional		$50.37	$50.37	$60.44