Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.98 / $39.78 / $169.83	Facility		$15.98	$39.78	$169.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $14.93 / $15.98	Professional		$9.00	$14.93	$15.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.85 / $34.00 / $112.12	Facility		$17.85	$34.00	$112.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $15.47 / $28.95	Professional		$8.27	$15.47	$28.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $34.81 / $49.73	Facility		$11.61	$34.81	$49.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $21.76 / $33.60	Professional		$11.71	$21.76	$33.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $16.39 / $18.04	Professional		$12.10	$16.39	$18.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $18.70 / $37.53	Facility		$17.00	$18.70	$37.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $25.50 / $46.75	Facility		$17.00	$25.50	$46.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $15.30	Professional		$15.30	$15.30	$15.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $27.96 / $46.75	Facility		$19.55	$27.96	$46.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $17.00 / $45.81	Professional		$12.75	$17.00	$45.81
United Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $7.14 / $19.04	Professional		$7.14	$7.14	$19.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.65 / $8.81	Professional		$7.65	$7.65	$8.81