Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.95 / $26.33 / $87.61	Facility		$14.95	$26.33	$87.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $14.95 / $26.16	Professional		$11.54	$14.95	$26.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.70 / $31.80 / $99.00	Facility		$16.70	$31.80	$99.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $14.31 / $26.05	Professional		$7.36	$14.31	$26.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $27.05 / $46.53	Facility		$10.31	$27.05	$46.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $19.30 / $29.70	Professional		$10.33	$19.30	$29.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $15.34 / $16.87	Professional		$11.32	$15.34	$16.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $17.48 / $35.10	Facility		$15.90	$17.48	$35.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $23.85 / $43.73	Facility		$15.90	$23.85	$43.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $14.31	Professional		$14.31	$14.31	$14.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $26.09 / $43.73	Facility		$18.29	$26.09	$43.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $15.90 / $43.11	Professional		$11.93	$15.90	$43.11
United Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $7.16 / $17.80	Professional		$6.68	$7.16	$17.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $7.16 / $8.24	Professional		$7.16	$7.16	$8.24