Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.75 / $127.50 / $185.45	Facility		$36.75	$127.50	$185.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $29.67 / $42.40	Professional		$14.98	$29.67	$42.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $49.47 / $134.28	Facility		$29.68	$49.47	$134.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $25.73 / $53.71	Professional		$13.96	$25.73	$53.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.41 / $60.11 / $82.71	Facility		$29.41	$60.11	$82.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $14.86 / $36.56	Professional		$14.86	$14.86	$36.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $28.27 / $42.41	Facility		$28.27	$28.27	$42.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $42.41 / $77.73	Facility		$28.27	$42.41	$77.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $29.68 / $40.14	Professional		$25.44	$29.68	$40.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $46.39 / $77.73	Facility		$29.68	$46.39	$77.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $28.27 / $76.34	Professional		$21.20	$28.27	$76.34
United Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $11.87 / $28.27	Professional		$11.87	$11.87	$28.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $14.64 / $14.64	Professional		$14.64	$14.64	$14.64