Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.89 / $195.83 / $995.70	Facility		$103.89	$195.83	$995.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $103.89 / $319.26	Professional		$94.45	$103.89	$319.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $89.15 / $137.01 / $264.89	Facility		$89.15	$137.01	$264.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $96.66 / $111.10	Professional		$94.45	$96.66	$111.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.10 / $89.10 / $221.84	Facility		$89.10	$89.10	$221.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $94.45 / $115.83	Professional		$94.45	$94.45	$115.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $94.15 / $117.69 / $283.35	Facility		$94.15	$117.69	$283.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.08 / $142.36 / $249.13	Facility		$80.08	$142.36	$249.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $99.24 / $105.81	Professional		$89.75	$99.24	$105.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $89.15 / $109.61 / $218.17	Facility		$89.15	$109.61	$218.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $94.45 / $94.45	Professional		$94.45	$94.45	$94.45
United Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $94.45 / $94.45	Professional		$94.45	$94.45	$94.45