Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.21 / $92.75 / $306.02	Facility		$52.21	$92.75	$306.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $52.21 / $135.00	Professional		$52.21	$52.21	$135.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $58.32 / $91.14 / $263.82	Facility		$58.32	$91.14	$263.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $49.99 / $101.25	Professional		$22.22	$49.99	$101.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $113.72 / $162.44	Facility		$57.76	$113.72	$162.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.43 / $64.02 / $80.02	Professional		$29.43	$64.02	$80.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $55.54 / $122.60	Facility		$55.54	$55.54	$122.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $83.31 / $152.72	Facility		$55.54	$83.31	$152.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.21 / $58.32 / $78.87	Professional		$47.21	$58.32	$78.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.32 / $91.14 / $152.74	Facility		$58.32	$91.14	$152.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $55.54 / $150.00	Professional		$41.66	$55.54	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $23.33 / $55.54	Professional		$23.33	$23.33	$55.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $28.77	Professional		$24.99	$24.99	$28.77