Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $67.12 / $232.14	Facility		$42.13	$67.12	$232.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $50.25	Professional		$42.13	$42.13	$50.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $44.24 / $69.14 / $200.12	Facility		$44.24	$69.14	$200.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $37.92 / $68.53	Professional		$16.85	$37.92	$68.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $67.90 / $106.28	Facility		$28.65	$67.90	$106.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $48.40 / $60.50	Professional		$23.48	$48.40	$60.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $46.34 / $63.20	Facility		$42.13	$46.34	$63.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $63.20 / $115.86	Facility		$42.13	$63.20	$115.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.81 / $44.24 / $59.82	Professional		$35.81	$44.24	$59.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.24 / $69.14 / $113.75	Facility		$44.24	$69.14	$113.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $42.13 / $114.07	Professional		$31.60	$42.13	$114.07
United Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $17.73 / $42.22	Professional		$17.66	$17.73	$42.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $18.96 / $21.82	Professional		$18.96	$18.96	$21.82