Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $98.84 / $177.84	Facility		$25.48	$98.84	$177.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $25.48 / $25.48	Professional		$14.37	$25.48	$25.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $28.47 / $47.44 / $128.77	Facility		$28.47	$47.44	$128.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $27.11 / $61.59	Professional		$16.39	$27.11	$61.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.19 / $55.50 / $70.00	Facility		$28.19	$55.50	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $31.39 / $39.24	Professional		$31.39	$31.39	$39.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.40 / $29.82 / $47.44	Facility		$24.40	$29.82	$47.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $40.67 / $74.55	Facility		$27.11	$40.67	$74.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $28.47 / $38.50	Professional		$23.04	$28.47	$38.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.47 / $44.49 / $74.55	Facility		$28.47	$44.49	$74.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $27.11 / $72.75	Professional		$20.32	$27.11	$72.75
United Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $27.11 / $27.11	Facility		$17.62	$27.11	$27.11
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $11.39 / $27.11	Professional		$11.39	$11.39	$27.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $12.20 / $14.04	Professional		$12.20	$12.20	$14.04