Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.82 / $51.43 / $221.48	Facility		$28.82	$51.43	$221.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $20.84 / $46.56	Professional		$15.33	$20.84	$46.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $44.34 / $158.00	Facility		$23.28	$44.34	$158.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $19.95 / $36.25	Professional		$8.92	$19.95	$36.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $45.39 / $120.63	Facility		$12.50	$45.39	$120.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $26.13 / $36.04	Professional		$12.57	$26.13	$36.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $21.39 / $23.52	Professional		$15.78	$21.39	$23.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $23.28 / $48.94	Facility		$22.17	$23.28	$48.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $33.26 / $60.97	Facility		$22.17	$33.26	$60.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.50 / $36.38 / $60.97	Facility		$25.50	$36.38	$60.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $22.17 / $60.18	Professional		$16.63	$22.17	$60.18
United Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $9.31 / $24.83	Professional		$9.31	$9.31	$24.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $9.98 / $11.48	Professional		$9.98	$9.98	$11.48