Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.85 / $71.81 / $119.45	Facility		$56.85	$71.81	$119.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $61.71 / $69.48	Professional		$56.10	$61.71	$69.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $52.57 / $78.86 / $152.44	Facility		$52.57	$78.86	$152.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $72.54	Professional		$56.10	$56.10	$72.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.93 / $52.93 / $103.96	Facility		$52.93	$52.93	$103.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $68.80	Professional		$56.10	$56.10	$68.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.10 / $70.13 / $168.30	Facility		$56.10	$70.13	$168.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.59 / $81.04 / $141.83	Facility		$45.59	$81.04	$141.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.03 / $56.43 / $67.17	Professional		$51.03	$56.43	$67.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.57 / $63.08 / $121.01	Facility		$52.57	$63.08	$121.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Professional		$56.10	$56.10	$56.10
United Facility/Professional Facility Modifier Low / Median / High Price $56.06 / $56.10 / $56.10	Facility		$56.06	$56.10	$56.10
United Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $56.10 / $56.10	Professional		$56.10	$56.10	$56.10