Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $76.95 / $157.76	Facility		$25.48	$76.95	$157.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $15.03 / $25.48	Professional		$14.36	$15.03	$25.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $28.47 / $47.44 / $128.77	Facility		$28.47	$47.44	$128.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $24.40 / $44.18	Professional		$10.84	$24.40	$44.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $43.70 / $68.39	Facility		$14.42	$43.70	$68.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $31.39 / $39.24	Professional		$27.84	$31.39	$39.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $27.11 / $40.67	Facility		$27.11	$27.11	$40.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $40.67 / $74.55	Facility		$27.11	$40.67	$74.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $28.47 / $38.50	Professional		$23.04	$28.47	$38.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.18 / $44.49 / $74.55	Facility		$31.18	$44.49	$74.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $27.11 / $72.75	Professional		$20.32	$27.11	$72.75
United Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $32.53 / $32.53	Facility		$27.11	$32.53	$32.53
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $11.39 / $27.11	Professional		$11.39	$11.39	$27.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $12.20 / $14.04	Professional		$12.20	$12.20	$14.04