Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.13 / $37.15 / $87.26	Facility		$16.13	$37.15	$87.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $14.83 / $29.22	Professional		$8.55	$14.83	$29.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $32.26 / $115.61	Facility		$16.94	$32.26	$115.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $15.16 / $27.80	Professional		$7.96	$15.16	$27.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.15 / $33.01 / $47.16	Facility		$11.15	$33.01	$47.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $20.71 / $32.14	Professional		$11.19	$20.71	$32.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.56 / $17.11	Professional		$11.48	$15.56	$17.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.13 / $16.94 / $39.97	Facility		$16.13	$16.94	$39.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.13 / $24.20 / $44.36	Facility		$16.13	$24.20	$44.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Professional		$14.52	$14.52	$14.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $26.61 / $44.36	Facility		$18.55	$26.61	$44.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $16.13 / $43.11	Professional		$12.10	$16.13	$43.11
United Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $16.13	Professional		$6.77	$6.77	$16.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $7.26 / $8.36	Professional		$7.26	$7.26	$8.36