Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.24 / $131.65 / $385.00	Facility		$25.24	$131.65	$385.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $23.14 / $38.58	Professional		$13.03	$23.14	$38.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $46.93 / $127.37	Facility		$27.37	$46.93	$127.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $22.16 / $42.48	Professional		$10.43	$22.16	$42.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $53.39 / $70.84	Facility		$13.40	$53.39	$70.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $30.15 / $38.47	Professional		$13.85	$30.15	$38.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $25.15 / $27.66	Professional		$18.55	$25.15	$27.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $27.37 / $57.55	Facility		$26.07	$27.37	$57.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $39.11 / $71.69	Facility		$26.07	$39.11	$71.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $23.46 / $23.46	Professional		$23.46	$23.46	$23.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.37 / $42.78 / $71.69	Facility		$27.37	$42.78	$71.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $26.07 / $70.06	Professional		$19.55	$26.07	$70.06
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $10.95 / $26.07	Professional		$10.95	$10.95	$26.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $11.73 / $13.50	Professional		$11.73	$11.73	$13.50