Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $46.94 / $161.33	Facility		$29.28	$46.94	$161.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $26.89 / $52.06	Professional		$19.03	$26.89	$52.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $30.74 / $52.70 / $205.30	Facility		$30.74	$52.70	$205.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $26.35 / $50.50	Professional		$14.46	$26.35	$50.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.25 / $53.09 / $85.64	Facility		$20.25	$53.09	$85.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $38.40 / $58.44	Professional		$20.30	$38.40	$58.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $28.25 / $31.07	Professional		$20.84	$28.25	$31.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $32.21 / $75.84	Facility		$29.28	$32.21	$75.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $43.92 / $80.52	Facility		$29.28	$43.92	$80.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $26.35 / $26.35	Professional		$26.35	$26.35	$26.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $48.05 / $80.52	Facility		$33.67	$48.05	$80.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $29.28 / $79.04	Professional		$21.96	$29.28	$79.04
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.51 / $32.79	Professional		$12.30	$14.51	$32.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $15.17	Professional		$13.18	$13.18	$15.17