Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $67.89 / $159.74	Facility		$67.89	$67.89	$159.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.29 / $67.89 / $67.89	Professional		$66.29	$67.89	$67.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $38.89 / $67.89 / $339.50	Facility		$38.89	$67.89	$339.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $67.89 / $67.89	Professional		$35.61	$67.89	$67.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $67.89 / $87.60	Facility		$67.89	$67.89	$87.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Professional		$67.89	$67.89	$67.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.89 / $38.89 / $39.82	Facility		$38.89	$38.89	$39.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $42.17 / $46.85	Professional		$36.07	$42.17	$46.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Facility		$67.89	$67.89	$67.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Professional		$67.89	$67.89	$67.89
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $66.56 / $66.56	Professional		$66.56	$66.56	$66.56