Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.79 / $71.40 / $187.20	Facility		$25.79	$71.40	$187.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $44.40 / $192.90	Professional		$24.80	$44.40	$192.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $52.50 / $142.50	Facility		$30.00	$52.50	$142.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $22.50 / $57.00	Professional		$12.00	$22.50	$57.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.34 / $48.75 / $77.45	Facility		$8.34	$48.75	$77.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $30.97 / $43.37	Professional		$15.44	$30.97	$43.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $28.94 / $31.83	Professional		$21.36	$28.94	$31.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $66.23	Facility		$30.00	$30.00	$66.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $45.00 / $82.50	Facility		$30.00	$45.00	$82.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $27.00	Professional		$27.00	$27.00	$27.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.50 / $49.23 / $82.50	Facility		$31.50	$49.23	$82.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $30.00 / $80.84	Professional		$15.36	$30.00	$80.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $12.60 / $33.60	Professional		$7.07	$12.60	$33.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $13.50 / $15.54	Professional		$13.50	$13.50	$15.54