Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.99 / $56.88 / $146.46	Facility		$24.99	$56.88	$146.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $24.99 / $56.88	Professional		$20.57	$24.99	$56.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $27.91 / $53.16 / $127.38	Facility		$27.91	$53.16	$127.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $24.19 / $50.50	Professional		$13.12	$24.19	$50.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $48.21 / $77.76	Facility		$18.39	$48.21	$77.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.42 / $34.40 / $53.08	Professional		$18.42	$34.40	$53.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $25.64 / $28.20	Professional		$18.92	$25.64	$28.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.58 / $27.91 / $58.68	Facility		$26.58	$27.91	$58.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.58 / $39.86 / $73.09	Facility		$26.58	$39.86	$73.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.92 / $23.92 / $23.92	Professional		$23.92	$23.92	$23.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.57 / $43.86 / $73.09	Facility		$30.57	$43.86	$73.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $26.58 / $71.86	Professional		$19.94	$26.58	$71.86
United Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $11.16 / $26.58	Professional		$11.16	$11.16	$26.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $11.96 / $13.77	Professional		$11.96	$11.96	$13.77