Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $60.11 / $204.12	Facility		$17.00	$60.11	$204.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $11.33 / $51.81	Professional		$6.27	$11.33	$51.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $60.37 / $179.22	Facility		$37.72	$60.37	$179.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $25.95 / $50.56	Professional		$4.82	$25.95	$50.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.08 / $60.81 / $95.17	Facility		$26.08	$60.81	$95.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.63 / $43.37 / $54.21	Professional		$38.63	$43.37	$54.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $41.50 / $56.60	Facility		$37.72	$41.50	$56.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $52.82 / $103.76	Facility		$12.05	$52.82	$103.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $33.96 / $53.58	Professional		$10.24	$33.96	$53.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $56.60 / $101.87	Facility		$39.61	$56.60	$101.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $37.72 / $101.50	Professional		$28.30	$37.72	$101.50
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $24.52	Professional		$5.05	$5.05	$24.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $19.54	Professional		$16.98	$16.98	$19.54