Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.19 / $45.97 / $118.36	Facility		$20.19	$45.97	$118.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $20.19 / $45.97	Professional		$16.63	$20.19	$45.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $49.40 / $192.00	Facility		$22.55	$49.40	$192.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $19.55 / $37.04	Professional		$10.61	$19.55	$37.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.87 / $38.96 / $62.82	Facility		$14.87	$38.96	$62.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $27.73 / $42.85	Professional		$14.98	$27.73	$42.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $20.72 / $22.79	Professional		$15.29	$20.72	$22.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $22.55 / $47.42	Facility		$21.48	$22.55	$47.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $32.22 / $59.07	Facility		$21.48	$32.22	$59.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Professional		$19.32	$19.32	$19.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.70 / $35.44 / $59.07	Facility		$24.70	$35.44	$59.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $21.48 / $58.38	Professional		$16.11	$21.48	$58.38
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.67 / $24.06	Professional		$9.02	$9.67	$24.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $9.67 / $11.13	Professional		$9.67	$9.67	$11.13