Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.98 / $123.60 / $129.27	Facility		$67.98	$123.60	$129.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $67.98 / $235.95	Professional		$61.79	$67.98	$235.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $157.71 / $236.57 / $488.90	Facility		$157.71	$236.57	$488.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $101.97 / $279.33	Professional		$61.80	$101.97	$279.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $55.28 / $61.80	Facility		$55.28	$55.28	$61.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $71.86	Professional		$61.80	$61.80	$71.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.65 / $62.15 / $157.71	Facility		$60.65	$62.15	$157.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.76 / $300.02 / $525.03	Facility		$168.76	$300.02	$525.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $183.56 / $279.33	Professional		$166.00	$183.56	$279.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $157.71 / $220.83 / $351.14	Facility		$157.71	$220.83	$351.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Professional		$61.80	$61.80	$61.80
United Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $85.57	Professional		$61.80	$61.80	$85.57