Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $187.51 / $337.38	Facility		$42.13	$187.51	$337.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $46.34	Professional		$42.13	$42.13	$46.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $84.26 / $244.29	Facility		$54.00	$84.26	$244.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $43.72 / $92.30	Professional		$20.57	$43.72	$92.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $82.91 / $129.76	Facility		$28.65	$82.91	$129.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $59.10 / $73.88	Professional		$42.13	$59.10	$73.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.43 / $51.43 / $72.00	Facility		$51.43	$51.43	$72.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $77.15 / $141.43	Facility		$42.13	$77.15	$141.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $52.03 / $73.03	Professional		$35.81	$52.03	$73.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $82.29 / $138.86	Facility		$54.00	$82.29	$138.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $62.75 / $139.22	Professional		$46.56	$62.75	$139.22
United Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $17.73 / $51.43	Professional		$17.66	$17.73	$51.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $23.14 / $26.64	Professional		$23.14	$23.14	$26.64