Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $38.06 / $109.01	Facility		$18.94	$38.06	$109.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $16.12 / $20.14	Professional		$10.67	$16.12	$20.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.16 / $35.28 / $95.71	Facility		$21.16	$35.28	$95.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $18.94 / $31.90	Professional		$9.13	$18.94	$31.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.54 / $32.49 / $58.95	Facility		$12.54	$32.49	$58.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $23.13 / $28.91	Professional		$12.05	$23.13	$28.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $15.55	Professional		$14.34	$14.34	$15.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $21.16 / $44.48	Facility		$20.14	$21.16	$44.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $30.22 / $55.41	Facility		$20.14	$30.22	$55.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $21.41 / $28.61	Professional		$18.14	$21.41	$28.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.17 / $33.07 / $55.41	Facility		$23.17	$33.07	$55.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $20.14 / $54.79	Professional		$15.11	$20.14	$54.79
United Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $8.46 / $20.14	Professional		$8.46	$8.46	$20.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $10.44	Professional		$9.07	$9.07	$10.44