Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.83 / $56.80 / $77.81	Facility		$32.83	$56.80	$77.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $32.83 / $145.78	Professional		$18.11	$32.83	$145.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $41.94 / $81.38 / $241.16	Facility		$41.94	$81.38	$241.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $51.24 / $67.59	Professional		$41.94	$51.24	$67.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $34.94 / $34.94	Professional		$34.94	$34.94	$34.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.34 / $50.52 / $57.72	Facility		$49.34	$50.52	$57.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.94 / $44.24 / $96.21	Facility		$41.94	$44.24	$96.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.94 / $50.49 / $56.74	Professional		$41.94	$50.49	$56.74
United Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $27.11 / $44.04	Professional		$21.97	$27.11	$44.04