Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.02 / $115.21 / $207.30	Facility		$30.02	$115.21	$207.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $29.70 / $30.02	Professional		$16.75	$29.70	$30.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $33.18 / $51.86 / $150.10	Facility		$33.18	$51.86	$150.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $25.91 / $64.44	Professional		$4.41	$25.91	$64.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $64.70 / $81.59	Facility		$32.86	$64.70	$81.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $36.34 / $45.43	Professional		$36.34	$36.34	$45.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $31.60 / $44.24	Facility		$31.60	$31.60	$44.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $47.40 / $86.90	Facility		$31.60	$47.40	$86.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $33.18 / $44.87	Professional		$26.86	$33.18	$44.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.18 / $51.86 / $86.90	Facility		$33.18	$51.86	$86.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $61.58 / $89.15	Professional		$28.70	$61.58	$89.15
United Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $13.27 / $31.60	Professional		$13.27	$13.27	$31.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $16.37	Professional		$14.22	$14.22	$16.37