Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $38.89 / $166.49	Facility		$19.75	$38.89	$166.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $16.34 / $18.57	Professional		$10.47	$16.34	$18.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.74 / $39.50 / $251.00	Facility		$20.74	$39.50	$251.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $17.78 / $37.53	Professional		$8.92	$17.78	$37.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.50 / $40.45 / $57.78	Facility		$12.50	$40.45	$57.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $25.90 / $36.04	Professional		$12.57	$25.90	$36.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $19.05 / $20.95	Professional		$14.06	$19.05	$20.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $21.73 / $43.60	Facility		$19.75	$21.73	$43.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $29.63 / $54.31	Facility		$19.75	$29.63	$54.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.71 / $32.40 / $54.31	Facility		$22.71	$32.40	$54.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $19.75 / $52.99	Professional		$14.81	$19.75	$52.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $8.30 / $22.12	Professional		$8.30	$8.30	$22.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $8.89 / $10.23	Professional		$8.89	$8.89	$10.23