Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.42 / $42.55 / $140.40	Facility		$24.42	$42.55	$140.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $22.76 / $37.71	Professional		$18.84	$22.76	$37.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26.75 / $49.69 / $121.47	Facility		$26.75	$49.69	$121.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $22.93 / $42.47	Professional		$12.58	$22.93	$42.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $41.07 / $74.52	Facility		$17.64	$41.07	$74.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $29.33 / $50.64	Professional		$17.73	$29.33	$50.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $24.58 / $27.03	Professional		$18.14	$24.58	$27.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $26.75 / $56.25	Facility		$25.48	$26.75	$56.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $38.22 / $70.06	Facility		$25.48	$38.22	$70.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $22.93 / $22.93	Professional		$22.93	$22.93	$22.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.30 / $42.04 / $70.06	Facility		$29.30	$42.04	$70.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.11 / $25.48 / $69.16	Professional		$19.11	$25.48	$69.16
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $12.63 / $25.48	Professional		$10.70	$12.63	$25.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $11.47 / $13.20	Professional		$11.47	$11.47	$13.20