Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $69.51 / $283.38	Facility		$42.13	$69.51	$283.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $49.65 / $77.14	Professional		$42.13	$49.65	$77.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $52.53 / $84.44 / $244.29	Facility		$52.53	$84.44	$244.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $42.97 / $73.03	Professional		$6.00	$42.97	$73.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $29.08 / $75.22	Facility		$28.65	$29.08	$75.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $59.10 / $73.88	Professional		$51.43	$59.10	$73.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.43 / $56.57 / $77.15	Facility		$51.43	$56.57	$77.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.43 / $90.00 / $136.80	Facility		$51.43	$90.00	$136.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $54.00 / $73.03	Professional		$43.72	$54.00	$73.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $84.40 / $138.86	Facility		$54.00	$84.40	$138.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $51.43 / $139.22	Professional		$38.57	$51.43	$139.22
United Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $17.73 / $48.86	Professional		$17.64	$17.73	$48.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $23.14 / $26.64	Professional		$23.14	$23.14	$26.64