Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.67 / $50.47 / $144.58	Facility		$24.67	$50.47	$144.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $24.67 / $50.47	Professional		$18.25	$24.67	$50.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $27.55 / $51.17 / $124.64	Facility		$27.55	$51.17	$124.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $23.62 / $42.48	Professional		$11.65	$23.62	$42.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $42.78 / $75.72	Facility		$16.32	$42.78	$75.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $30.54 / $47.24	Professional		$16.35	$30.54	$47.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $25.31 / $27.84	Professional		$18.68	$25.31	$27.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $27.55 / $57.92	Facility		$26.24	$27.55	$57.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $39.36 / $72.16	Facility		$26.24	$39.36	$72.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $23.62 / $23.62	Professional		$23.62	$23.62	$23.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.18 / $43.06 / $72.16	Facility		$30.18	$43.06	$72.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $26.24 / $70.95	Professional		$19.68	$26.24	$70.95
United Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $11.02 / $26.24	Professional		$11.02	$11.02	$26.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $11.81 / $13.59	Professional		$11.81	$11.81	$13.59