Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.55 / $192.18 / $345.78	Facility		$49.55	$192.18	$345.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $49.55 / $49.55	Professional		$27.94	$49.55	$49.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.35 / $86.50 / $250.37	Facility		$55.35	$86.50	$250.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $44.80 / $74.84	Professional		$4.97	$44.80	$74.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.82 / $107.92 / $136.10	Facility		$54.82	$107.92	$136.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $60.71 / $75.89	Professional		$60.71	$60.71	$75.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.71 / $52.71 / $73.79	Facility		$52.71	$52.71	$73.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.71 / $79.06 / $144.94	Facility		$52.71	$79.06	$144.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.80 / $55.35 / $74.84	Professional		$44.80	$55.35	$74.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $55.35 / $86.50 / $144.94	Facility		$55.35	$86.50	$144.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $52.71 / $141.91	Professional		$39.53	$52.71	$141.91
United Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $22.14 / $52.71	Professional		$22.14	$22.14	$52.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.72 / $23.72 / $27.30	Professional		$23.72	$23.72	$27.30