Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.41 / $44.19 / $113.78	Facility		$19.41	$44.19	$113.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $19.41 / $42.50	Professional		$10.94	$19.41	$42.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.68 / $41.30 / $100.00	Facility		$21.68	$41.30	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $18.79 / $35.65	Professional		$10.19	$18.79	$35.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.29 / $37.47 / $60.39	Facility		$14.29	$37.47	$60.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $26.68 / $41.39	Professional		$14.29	$26.68	$41.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $19.92 / $21.91	Professional		$14.70	$19.92	$21.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $21.68 / $45.58	Facility		$20.65	$21.68	$45.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $30.97 / $56.79	Facility		$20.65	$30.97	$56.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.75 / $34.07 / $56.79	Facility		$23.75	$34.07	$56.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.65 / $55.69	Professional		$15.49	$20.65	$55.69
United Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $8.67 / $20.65	Professional		$8.67	$8.67	$20.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $9.28 / $10.70	Professional		$9.28	$9.28	$10.70