Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $43.19 / $149.38	Facility		$25.48	$43.19	$149.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $25.48 / $38.89	Professional		$13.56	$25.48	$38.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $28.47 / $45.72 / $128.77	Facility		$28.47	$45.72	$128.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $20.82 / $42.00	Professional		$10.84	$20.82	$42.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $39.82 / $70.00	Facility		$12.24	$39.82	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $31.39 / $39.24	Professional		$14.37	$31.39	$39.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $20.92	Professional		$19.30	$19.30	$20.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $27.65 / $59.85	Facility		$27.11	$27.65	$59.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $40.67 / $74.55	Facility		$27.11	$40.67	$74.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $28.47 / $38.50	Professional		$20.91	$28.47	$38.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.18 / $44.49 / $74.55	Facility		$31.18	$44.49	$74.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $27.11 / $72.75	Professional		$20.32	$27.11	$72.75
United Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $11.39 / $27.11	Professional		$10.34	$11.39	$27.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $12.20 / $14.04	Professional		$12.20	$12.20	$14.04