Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.53 / $47.76 / $165.19	Facility		$5.53	$47.76	$165.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $14.99 / $44.96	Professional		$3.00	$14.99	$44.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $49.20 / $142.41	Facility		$29.98	$49.20	$142.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $22.49 / $48.71	Professional		$2.96	$22.49	$48.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.77 / $44.05 / $77.42	Facility		$1.77	$44.05	$77.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $15.92 / $43.37	Professional		$3.16	$15.92	$43.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $28.92 / $31.81	Professional		$21.34	$28.92	$31.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $29.98 / $66.18	Facility		$29.98	$29.98	$66.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.98 / $29.98 / $29.98	Facility		$26.98	$29.98	$29.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $26.98 / $26.98	Professional		$26.98	$26.98	$26.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.48 / $49.20 / $82.45	Facility		$31.48	$49.20	$82.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $29.98 / $80.84	Professional		$3.27	$29.98	$80.84
United Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $17.98 / $29.98	Professional		$2.10	$17.98	$29.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $15.53 / $15.53	Professional		$15.53	$15.53	$15.53