Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.90 / $72.63 / $187.01	Facility		$31.90	$72.63	$187.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $31.90 / $72.63	Professional		$26.27	$31.90	$72.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $35.64 / $67.88 / $161.58	Facility		$35.64	$67.88	$161.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $31.90 / $58.60	Professional		$16.76	$31.90	$58.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $61.56 / $99.27	Facility		$23.49	$61.56	$99.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $43.88 / $67.69	Professional		$23.59	$43.88	$67.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $32.74 / $36.01	Professional		$24.16	$32.74	$36.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.94 / $37.33 / $74.92	Facility		$33.94	$37.33	$74.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.94 / $50.91 / $93.34	Facility		$33.94	$50.91	$93.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $30.55 / $30.55	Professional		$30.55	$30.55	$30.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.03 / $56.00 / $93.34	Facility		$39.03	$56.00	$93.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $33.94 / $91.62	Professional		$25.46	$33.94	$91.62
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $14.25 / $38.01	Professional		$14.25	$14.25	$38.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $15.27 / $17.57	Professional		$15.27	$15.27	$17.57