Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $61.70 / $158.85	Facility		$27.10	$61.70	$158.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $26.14 / $61.70	Professional		$22.31	$26.14	$61.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $30.27 / $57.66 / $179.00	Facility		$30.27	$57.66	$179.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $26.24 / $58.90	Professional		$14.24	$26.24	$58.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $52.30 / $84.33	Facility		$19.98	$52.30	$84.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $37.96 / $57.46	Professional		$19.97	$37.96	$57.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $27.81 / $30.59	Professional		$20.52	$27.81	$30.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.83 / $30.27 / $63.64	Facility		$28.83	$30.27	$63.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.83 / $43.25 / $79.28	Facility		$28.83	$43.25	$79.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $25.95 / $25.95	Professional		$25.95	$25.95	$25.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $47.57 / $79.28	Facility		$33.15	$47.57	$79.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $28.83 / $78.14	Professional		$21.62	$28.83	$78.14
United Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $14.29 / $32.29	Professional		$12.11	$14.29	$32.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $12.97 / $14.93	Professional		$12.97	$12.97	$14.93