Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.67 / $39.00 / $119.40	Facility		$21.67	$39.00	$119.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $15.79 / $21.67	Professional		$10.83	$15.79	$21.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $22.75 / $35.56 / $102.93	Facility		$22.75	$35.56	$102.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $16.25 / $34.00	Professional		$8.67	$16.25	$34.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $31.84 / $55.97	Facility		$8.98	$31.84	$55.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $24.78 / $30.98	Professional		$11.42	$24.78	$30.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $15.43 / $16.72	Professional		$15.43	$15.43	$16.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.67 / $21.67 / $47.84	Facility		$21.67	$21.67	$47.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.67 / $32.51 / $59.59	Facility		$21.67	$32.51	$59.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $22.75 / $30.77	Professional		$15.35	$22.75	$30.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $35.56 / $59.59	Facility		$23.52	$35.56	$59.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $21.67 / $58.38	Professional		$16.25	$21.67	$58.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $9.10 / $24.27	Professional		$7.60	$9.10	$24.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $9.75 / $11.23	Professional		$9.75	$9.75	$11.23