Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $43.35 / $116.10	Facility		$20.00	$43.35	$116.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $19.80 / $33.57	Professional		$11.16	$19.80	$33.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $22.12 / $42.14 / $196.00	Facility		$22.12	$42.14	$196.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $19.17 / $36.35	Professional		$10.40	$19.17	$36.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $43.16 / $86.63	Facility		$14.58	$43.16	$86.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $27.38 / $41.88	Professional		$14.63	$27.38	$41.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $20.32 / $22.36	Professional		$15.00	$20.32	$22.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.07 / $22.12 / $46.51	Facility		$21.07	$22.12	$46.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.07 / $31.61 / $57.94	Facility		$21.07	$31.61	$57.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $18.96 / $18.96	Professional		$18.96	$18.96	$18.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.23 / $34.77 / $57.94	Facility		$24.23	$34.77	$57.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $21.07 / $56.59	Professional		$15.80	$21.07	$56.59
United Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $9.48 / $23.60	Professional		$8.85	$9.48	$23.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $9.48 / $10.91	Professional		$9.48	$9.48	$10.91