Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $114.23 / $205.53	Facility		$29.45	$114.23	$205.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $29.45 / $29.45	Professional		$3.90	$29.45	$29.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $51.41 / $148.82	Facility		$32.90	$51.41	$148.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $28.20 / $60.91	Professional		$6.54	$28.20	$60.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.58 / $64.13 / $80.88	Facility		$32.58	$64.13	$80.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $35.93 / $44.91	Professional		$35.93	$35.93	$44.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $34.46 / $54.83	Facility		$28.20	$34.46	$54.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $47.00 / $86.16	Facility		$31.33	$47.00	$86.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $32.90 / $44.49	Professional		$26.63	$32.90	$44.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $51.41 / $86.16	Facility		$32.90	$51.41	$86.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $31.33 / $84.43	Professional		$23.50	$31.33	$84.43
United Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $13.16 / $31.33	Professional		$13.16	$13.16	$31.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $14.10 / $16.23	Professional		$14.10	$14.10	$16.23