Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $40.56 / $88.93	Facility		$14.17	$40.56	$88.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $13.11 / $21.43	Professional		$11.06	$13.11	$21.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $28.58 / $107.00	Facility		$15.00	$28.58	$107.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $12.86 / $25.99	Professional		$7.06	$12.86	$25.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.90 / $29.26 / $41.81	Facility		$9.90	$29.26	$41.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $18.76 / $28.73	Professional		$9.99	$18.76	$28.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $13.79 / $15.16	Professional		$10.17	$13.79	$15.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.29 / $15.00 / $35.88	Facility		$14.29	$15.00	$35.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.29 / $21.44 / $39.29	Facility		$14.29	$21.44	$39.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $12.86	Professional		$12.86	$12.86	$12.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $23.58 / $39.29	Facility		$16.43	$23.58	$39.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.29 / $38.61	Professional		$10.72	$14.29	$38.61
United Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.43 / $15.75	Professional		$6.00	$6.43	$15.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $6.43 / $7.40	Professional		$6.43	$6.43	$7.40