Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.18 / $110.96 / $151.37	Facility		$60.18	$110.96	$151.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $60.18 / $95.53	Professional		$54.71	$60.18	$95.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.48 / $83.22 / $160.88	Facility		$55.48	$83.22	$160.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $59.11 / $72.09	Professional		$54.71	$59.11	$72.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.61 / $51.61 / $135.68	Facility		$51.61	$51.61	$135.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $67.09	Professional		$54.71	$54.71	$67.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $68.39 / $164.13	Facility		$54.71	$68.39	$164.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $90.21 / $157.87	Facility		$50.74	$90.21	$157.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.89 / $60.70 / $72.09	Professional		$54.89	$60.70	$72.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $55.20 / $67.36 / $152.49	Facility		$55.20	$67.36	$152.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Professional		$54.71	$54.71	$54.71
United Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Professional		$54.71	$54.71	$54.71