Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.55 / $234.84 / $422.53	Facility		$60.55	$234.84	$422.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $60.55 / $60.55	Professional		$34.14	$60.55	$60.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $67.63 / $105.70 / $305.95	Facility		$67.63	$105.70	$305.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $57.97 / $91.46	Professional		$11.94	$57.97	$91.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.98 / $131.88 / $166.33	Facility		$66.98	$131.88	$166.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $73.93 / $92.41	Professional		$73.93	$73.93	$92.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $90.17	Facility		$64.41	$64.41	$90.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $96.62 / $177.13	Facility		$64.41	$96.62	$177.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $67.63 / $91.46	Professional		$54.75	$67.63	$91.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67.63 / $105.70 / $177.13	Facility		$67.63	$105.70	$177.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $64.41 / $173.35	Professional		$48.31	$64.41	$173.35
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $27.05 / $64.41	Professional		$27.05	$27.05	$64.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $28.98 / $33.36	Professional		$28.98	$28.98	$33.36