Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $58.34 / $104.96	Facility		$15.04	$58.34	$104.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $28.00 / $76.00	Facility		$16.80	$28.00	$76.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $14.40 / $31.12	Professional		$5.92	$14.40	$31.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $32.76 / $41.31	Facility		$16.64	$32.76	$41.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $22.72	Professional		$18.17	$18.17	$22.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $17.60 / $28.00	Facility		$14.40	$17.60	$28.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $24.00 / $44.00	Facility		$16.00	$24.00	$44.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $16.80 / $22.72	Professional		$13.60	$16.80	$22.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $26.26 / $44.00	Facility		$16.80	$26.26	$44.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $16.00 / $43.11	Professional		$12.00	$16.00	$43.11
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $6.72 / $16.00	Professional		$6.72	$6.72	$16.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $7.20 / $8.28	Professional		$7.20	$7.20	$8.28