Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $49.35 / $170.70	Facility		$30.98	$49.35	$170.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $28.02 / $29.12	Professional		$16.42	$28.02	$29.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $54.22 / $152.00	Facility		$32.53	$54.22	$152.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $27.88 / $53.45	Professional		$15.30	$27.88	$53.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.44 / $56.18 / $90.63	Facility		$21.44	$56.18	$90.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $40.64 / $61.84	Professional		$21.52	$40.64	$61.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $29.89 / $32.87	Professional		$22.05	$29.89	$32.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $32.53 / $75.84	Facility		$30.98	$32.53	$75.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $46.47 / $85.20	Facility		$30.98	$46.47	$85.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $27.88 / $27.88	Professional		$27.88	$27.88	$27.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $50.84 / $85.20	Facility		$32.53	$50.84	$85.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $30.98 / $83.53	Professional		$23.24	$30.98	$83.53
United Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $13.01 / $30.98	Professional		$13.01	$13.01	$30.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $13.94 / $16.05	Professional		$13.94	$13.94	$16.05