Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.29 / $160.83 / $964.73	Facility		$61.29	$160.83	$964.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $58.38 / $105.28	Professional		$53.07	$58.38	$105.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $79.62 / $153.93	Facility		$53.08	$79.62	$153.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $53.08 / $87.58	Professional		$45.90	$53.08	$87.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.90 / $45.90 / $213.76	Facility		$45.90	$45.90	$213.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $45.90 / $45.90	Professional		$45.90	$45.90	$45.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $84.93 / $79,999.20	Facility		$53.08	$84.93	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.82 / $53.08 / $121.55	Facility		$44.82	$53.08	$121.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $48.60 / $54.00	Professional		$41.58	$48.60	$54.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $69.00 / $133.07	Facility		$53.08	$69.00	$133.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $53.08	Professional		$53.08	$53.08	$53.08
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $53.08	Professional		$53.08	$53.08	$53.08