Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $43.91 / $113.07	Facility		$19.29	$43.91	$113.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $18.57 / $19.29	Professional		$10.88	$18.57	$19.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.55 / $41.04 / $110.00	Facility		$21.55	$41.04	$110.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $18.47 / $35.40	Professional		$10.14	$18.47	$35.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $37.22 / $60.03	Facility		$14.20	$37.22	$60.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $26.68 / $40.90	Professional		$14.29	$26.68	$40.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $19.80 / $21.78	Professional		$14.60	$19.80	$21.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.52 / $21.55 / $45.30	Facility		$20.52	$21.55	$45.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.52 / $30.78 / $56.43	Facility		$20.52	$30.78	$56.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $18.47 / $18.47	Professional		$18.47	$18.47	$18.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $33.86 / $56.43	Facility		$23.60	$33.86	$56.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $20.52 / $55.69	Professional		$15.39	$20.52	$55.69
United Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $8.61 / $20.52	Professional		$8.61	$8.61	$20.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $9.23 / $10.63	Professional		$9.23	$9.23	$10.63