Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $67.09 / $120.70	Facility		$17.30	$67.09	$120.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $17.30 / $17.30	Professional		$9.75	$17.30	$17.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $30.19 / $87.40	Facility		$19.32	$30.19	$87.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $15.64 / $26.13	Professional		$9.35	$15.64	$26.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $37.67 / $47.51	Facility		$19.14	$37.67	$47.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $21.06 / $26.33	Professional		$21.06	$21.06	$26.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.39 / $25.76	Facility		$18.39	$18.39	$25.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $27.60 / $50.60	Facility		$18.39	$27.60	$50.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $19.32 / $26.13	Professional		$15.64	$19.32	$26.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $30.19 / $50.60	Facility		$19.32	$30.19	$50.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.39 / $49.40	Professional		$13.80	$18.39	$49.40
United Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $7.73 / $20.61	Professional		$7.73	$7.73	$20.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $8.27 / $9.52	Professional		$8.27	$8.27	$9.52