Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.33 / $290.26 / $522.24	Facility		$105.33	$290.26	$522.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $105.33 / $125.40	Professional		$105.33	$105.33	$125.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $83.59 / $144.38 / $378.15	Facility		$83.59	$144.38	$378.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $71.65 / $151.26	Professional		$6.00	$71.65	$151.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.62 / $72.69 / $116.44	Facility		$71.62	$72.69	$116.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.48 / $105.33 / $114.35	Professional		$91.48	$105.33	$114.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79.61 / $87.57 / $111.45	Facility		$79.61	$87.57	$111.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.61 / $139.32 / $211.76	Facility		$79.61	$139.32	$211.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $83.59 / $113.05	Professional		$67.67	$83.59	$113.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $83.59 / $144.38 / $218.93	Facility		$83.59	$144.38	$218.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $79.61 / $214.67	Professional		$59.71	$79.61	$214.67
United Facility/Professional Professional Modifier Low / Median / High Price $44.07 / $44.26 / $111.21	Professional		$44.07	$44.26	$111.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.82 / $35.82 / $41.24	Professional		$35.82	$35.82	$41.24