Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.02 / $53.51 / $140.78	Facility		$24.02	$53.51	$140.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $22.63 / $24.02	Professional		$13.53	$22.63	$24.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26.83 / $51.05 / $121.36	Facility		$26.83	$51.05	$121.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $23.00 / $43.15	Professional		$12.35	$23.00	$43.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $45.36 / $74.75	Facility		$17.30	$45.36	$74.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $32.29 / $50.16	Professional		$17.39	$32.29	$50.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $24.65 / $27.11	Professional		$18.19	$24.65	$27.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $26.83 / $61.50	Facility		$25.55	$26.83	$61.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $38.33 / $70.26	Facility		$25.55	$38.33	$70.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $23.00	Professional		$23.00	$23.00	$23.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $41.93 / $70.26	Facility		$29.38	$41.93	$70.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $25.55 / $69.16	Professional		$19.16	$25.55	$69.16
United Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $10.73 / $25.55	Professional		$10.73	$10.73	$25.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $11.50 / $13.23	Professional		$11.50	$11.50	$13.23