Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $57.04 / $144.00	Facility		$13.53	$57.04	$144.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $12.77 / $25.44	Professional		$10.44	$12.77	$25.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $30.31 / $205.00	Facility		$14.83	$30.31	$205.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $12.85 / $26.83	Professional		$6.97	$12.85	$26.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $28.92 / $72.86	Facility		$9.77	$28.92	$72.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $18.76 / $28.24	Professional		$9.81	$18.76	$28.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $13.62 / $14.98	Professional		$10.05	$13.62	$14.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $14.83 / $31.17	Facility		$14.12	$14.83	$31.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $21.18 / $38.83	Facility		$14.12	$21.18	$38.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $12.71 / $12.71	Professional		$12.71	$12.71	$12.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $23.30 / $38.83	Facility		$16.23	$23.30	$38.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $14.12 / $37.72	Professional		$10.59	$14.12	$37.72
United Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $5.93 / $14.12	Professional		$5.93	$5.93	$14.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $6.35 / $7.31	Professional		$6.35	$6.35	$7.31