Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $116.10 / $383.06	Facility		$65.34	$116.10	$383.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $71.26 / $350.00	Professional		$65.34	$71.26	$350.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $73.00 / $114.08 / $330.22	Facility		$73.00	$114.08	$330.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $62.57 / $132.09	Professional		$27.81	$62.57	$132.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.30 / $142.35 / $203.36	Facility		$72.30	$142.35	$203.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $80.12 / $100.15	Professional		$36.70	$80.12	$100.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.52 / $69.52 / $153.47	Facility		$69.52	$69.52	$153.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.52 / $104.28 / $191.18	Facility		$69.52	$104.28	$191.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.09 / $73.00 / $98.72	Professional		$59.09	$73.00	$98.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $73.00 / $114.08 / $191.18	Facility		$73.00	$114.08	$191.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.14 / $69.52 / $187.72	Professional		$52.14	$69.52	$187.72
United Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $29.20 / $83.42	Professional		$29.20	$29.20	$83.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $31.28 / $36.01	Professional		$31.28	$31.28	$36.01