Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.34 / $53.62 / $160.22	Facility		$27.34	$53.62	$160.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $27.34 / $53.62	Professional		$19.48	$27.34	$53.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $30.53 / $56.71 / $138.13	Facility		$30.53	$56.71	$138.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $26.17 / $48.74	Professional		$12.37	$26.17	$48.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $45.43 / $80.40	Facility		$17.36	$45.43	$80.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $33.45 / $50.16	Professional		$17.39	$33.45	$50.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $28.05 / $30.85	Professional		$20.70	$28.05	$30.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.08 / $30.53 / $64.19	Facility		$29.08	$30.53	$64.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.08 / $43.62 / $79.97	Facility		$29.08	$43.62	$79.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $26.17 / $26.17	Professional		$26.17	$26.17	$26.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.44 / $47.72 / $79.97	Facility		$33.44	$47.72	$79.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $29.08 / $78.14	Professional		$21.81	$29.08	$78.14
United Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $12.21 / $32.57	Professional		$12.21	$12.21	$32.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $13.09 / $15.06	Professional		$13.09	$13.09	$15.06