Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.43 / $39.67 / $102.16	Facility		$17.43	$39.67	$102.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $16.76 / $17.43	Professional		$9.83	$16.76	$17.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.47 / $42.64 / $100.00	Facility		$19.47	$42.64	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $17.43 / $32.71	Professional		$9.16	$17.43	$32.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.84 / $36.84 / $54.23	Facility		$12.84	$36.84	$54.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $24.56 / $37.01	Professional		$12.91	$24.56	$37.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $17.89 / $19.67	Professional		$13.20	$17.89	$19.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $19.47 / $40.93	Facility		$18.54	$19.47	$40.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $27.81 / $50.99	Facility		$18.54	$27.81	$50.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $16.69 / $16.69	Professional		$16.69	$16.69	$16.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $30.59 / $50.99	Facility		$21.32	$30.59	$50.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $18.54 / $50.30	Professional		$13.91	$18.54	$50.30
United Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $7.79 / $18.54	Professional		$7.79	$7.79	$18.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $8.34 / $9.60	Professional		$8.34	$8.34	$9.60