Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.46 / $61.45 / $212.52	Facility		$30.46	$61.45	$212.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $30.46 / $36.26	Professional		$19.28	$30.46	$36.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $61.71 / $183.21	Facility		$38.57	$61.71	$183.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $28.93 / $60.00	Professional		$15.43	$28.93	$60.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.59 / $56.66 / $99.59	Facility		$9.59	$56.66	$99.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $39.67 / $55.24	Professional		$17.37	$39.67	$55.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $27.46 / $29.76	Professional		$27.46	$27.46	$29.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $38.57 / $85.14	Facility		$38.57	$38.57	$85.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.81 / $54.00 / $106.07	Facility		$35.81	$54.00	$106.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $40.50 / $54.77	Professional		$16.38	$40.50	$54.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.50 / $63.29 / $106.07	Facility		$40.50	$63.29	$106.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $38.57 / $104.19	Professional		$19.30	$38.57	$104.19
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $16.20 / $38.57	Professional		$8.11	$16.20	$38.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $17.36 / $19.98	Professional		$17.36	$17.36	$19.98