Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $82.49 / $119.98	Facility		$23.78	$82.49	$119.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $18.05 / $27.43	Professional		$16.41	$18.05	$27.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $30.01 / $86.88	Facility		$19.20	$30.01	$86.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $15.87 / $31.69	Professional		$7.32	$15.87	$31.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.75 / $40.56 / $48.98	Facility		$26.75	$40.56	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $9.61 / $23.91	Professional		$9.61	$9.61	$23.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $18.29 / $27.44	Facility		$18.29	$18.29	$27.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $18.29 / $18.29	Facility		$16.46	$18.29	$18.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.87 / $19.20 / $25.97	Professional		$15.87	$19.20	$25.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.03 / $30.01 / $50.30	Facility		$21.03	$30.01	$50.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $18.29 / $49.40	Professional		$13.72	$18.29	$49.40
United Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $7.68 / $20.48	Professional		$7.68	$7.68	$20.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $9.47 / $9.47	Professional		$9.47	$9.47	$9.47