Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $31.24 / $108.05	Facility		$12.65	$31.24	$108.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $15.26 / $19.61	Professional		$11.30	$15.26	$19.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $39.22 / $320.00	Facility		$19.61	$39.22	$320.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $17.64 / $37.26	Professional		$8.33	$17.64	$37.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.50 / $30.60 / $54.16	Facility		$8.50	$30.60	$54.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $22.72 / $33.60	Professional		$11.71	$22.72	$33.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $18.92 / $20.81	Professional		$13.96	$18.92	$20.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $20.59 / $43.29	Facility		$19.61	$20.59	$43.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $29.42 / $53.93	Facility		$17.64	$29.42	$53.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $17.64 / $17.64	Professional		$17.64	$17.64	$17.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.59 / $32.18 / $53.93	Facility		$20.59	$32.18	$53.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $19.61 / $52.99	Professional		$14.71	$19.61	$52.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.36 / $21.96	Professional		$8.24	$8.36	$21.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $8.82 / $10.16	Professional		$8.82	$8.82	$10.16