Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.69 / $47.52 / $54.00	Facility		$29.69	$47.52	$54.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $29.70 / $2,265.94	Professional		$27.00	$29.70	$2,265.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $44.87 / $77.42	Facility		$27.00	$44.87	$77.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $28.50 / $90.41	Professional		$28.35	$28.50	$90.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.65 / $24.65 / $63.68	Facility		$24.65	$24.65	$63.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $32.04	Professional		$27.00	$27.00	$32.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.59 / $31.31 / $75.15	Facility		$24.59	$31.31	$75.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.35 / $55.12 / $88.20	Facility		$28.35	$55.12	$88.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $30.23 / $90.41	Professional		$25.77	$30.23	$90.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $32.40 / $72.95	Facility		$27.00	$32.40	$72.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $28.35 / $28.35	Professional		$28.35	$28.35	$28.35
United Facility/Professional Facility Modifier Low / Median / High Price $65.45 / $65.45 / $65.45	Facility		$65.45	$65.45	$65.45
United Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00