Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $154.15 / $277.36	Facility		$42.28	$154.15	$277.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $50.25	Professional		$42.28	$42.28	$50.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $44.39 / $73.98 / $200.83	Facility		$44.39	$73.98	$200.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $38.04 / $86.62	Professional		$12.47	$38.04	$86.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.75 / $68.15 / $106.66	Facility		$28.75	$68.15	$106.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $48.57 / $60.71	Professional		$42.28	$48.57	$60.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $42.28 / $59.19	Facility		$42.28	$42.28	$59.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $63.42 / $116.27	Facility		$42.28	$63.42	$116.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $44.39 / $60.04	Professional		$35.94	$44.39	$60.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.39 / $69.38 / $114.16	Facility		$44.39	$69.38	$114.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $62.00 / $114.07	Professional		$38.36	$62.00	$114.07
United Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $17.73 / $42.28	Professional		$17.66	$17.73	$42.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $19.03 / $21.90	Professional		$19.03	$19.03	$21.90