Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $73.42 / $172.76	Facility		$73.42	$73.42	$172.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $73.42 / $86.04	Professional		$71.70	$73.42	$86.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $54.84 / $85.68 / $165.65	Facility		$54.84	$85.68	$165.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $64.01 / $73.42 / $86.38	Professional		$64.01	$73.42	$86.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $134.88 / $216.44	Facility		$73.42	$134.88	$216.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Professional		$73.42	$73.42	$73.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.12 / $57.12 / $79,999.20	Facility		$57.12	$57.12	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.32 / $85.91 / $150.33	Facility		$48.32	$85.91	$150.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.57 / $60.34 / $82.66	Professional		$54.57	$60.34	$82.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $53.89 / $71.40 / $134.91	Facility		$53.89	$71.40	$134.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Professional		$73.42	$73.42	$73.42
United Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $58.90 / $58.90	Facility		$58.90	$58.90	$58.90
United Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $86.38	Professional		$71.98	$71.98	$86.38