Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $85.97 / $2,815.13	Facility		$42.14	$85.97	$2,815.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $42.14 / $49.38	Professional		$41.15	$42.14	$49.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $34.78 / $63.86 / $123.45	Facility		$34.78	$63.86	$123.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $42.14 / $49.58	Professional		$33.47	$42.14	$49.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $66.94 / $139.12	Facility		$42.14	$66.94	$139.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Professional		$42.14	$42.14	$42.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.21 / $79,999.20 / $79,999.20	Facility		$45.21	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.69 / $66.78 / $116.87	Facility		$32.69	$66.78	$116.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $35.44 / $39.38	Professional		$30.32	$35.44	$39.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.74 / $51.08 / $94.78	Facility		$41.74	$51.08	$94.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Professional		$42.14	$42.14	$42.14
United Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $41.31 / $41.31	Professional		$41.31	$41.31	$41.31