Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $37.32 / $90.25	Facility		$16.38	$37.32	$90.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $15.40 / $29.20	Professional		$8.67	$15.40	$29.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $32.76 / $106.43	Facility		$17.20	$32.76	$106.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $14.74 / $28.30	Professional		$8.09	$14.74	$28.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $33.20 / $47.93	Facility		$11.34	$33.20	$47.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $21.06 / $32.63	Professional		$11.36	$21.06	$32.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $15.80 / $17.38	Professional		$11.66	$15.80	$17.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $17.20 / $42.03	Facility		$16.38	$17.20	$42.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $24.57 / $45.04	Facility		$16.38	$24.57	$45.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $14.74 / $14.74	Professional		$14.74	$14.74	$14.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $27.03 / $45.05	Facility		$18.84	$27.03	$45.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $16.38 / $44.01	Professional		$12.29	$16.38	$44.01
United Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $6.88 / $16.38	Professional		$6.88	$6.88	$16.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $7.37 / $8.48	Professional		$7.37	$7.37	$8.48