Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.25 / $55.21 / $142.16	Facility		$24.25	$55.21	$142.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $23.69 / $25.80	Professional		$13.66	$23.69	$25.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $51.60 / $128.00	Facility		$27.09	$51.60	$128.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $23.22 / $49.00	Professional		$12.74	$23.22	$49.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $46.78 / $75.47	Facility		$17.86	$46.78	$75.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $33.35 / $51.62	Professional		$17.89	$33.35	$51.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $24.89 / $27.37	Professional		$18.36	$24.89	$27.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $28.38 / $56.95	Facility		$25.80	$28.38	$56.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $38.70 / $70.95	Facility		$25.80	$38.70	$70.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $23.22 / $23.22	Professional		$23.22	$23.22	$23.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.67 / $42.57 / $70.95	Facility		$29.67	$42.57	$70.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $25.80 / $70.06	Professional		$19.35	$25.80	$70.06
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $12.90 / $25.80	Professional		$10.84	$12.90	$25.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $11.61 / $13.36	Professional		$11.61	$11.61	$13.36