Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.22 / $73.47 / $99.78	Facility		$45.22	$73.47	$99.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $45.22 / $62.98	Professional		$41.11	$45.22	$62.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $55.70 / $108.98	Facility		$41.11	$55.70	$108.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $43.98 / $53.93	Professional		$41.11	$43.98	$53.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.78 / $38.78 / $100.93	Facility		$38.78	$38.78	$100.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $50.42	Professional		$41.11	$41.11	$50.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $51.33 / $123.33	Facility		$41.06	$51.33	$123.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.53 / $72.05 / $126.10	Facility		$40.53	$72.05	$126.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.84 / $45.16 / $52.36	Professional		$40.84	$45.16	$52.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $45.22 / $89.14	Facility		$41.11	$45.22	$89.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
United Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11