Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $42.84 / $148.16	Facility		$25.28	$42.84	$148.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $25.28 / $39.79	Professional		$15.06	$25.28	$39.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $28.23 / $48.40 / $127.73	Facility		$28.23	$48.40	$127.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $20.17 / $44.89	Professional		$10.76	$20.17	$44.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $39.50 / $69.44	Facility		$11.90	$39.50	$69.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $30.98 / $38.72	Professional		$14.19	$30.98	$38.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $25.94 / $28.53	Professional		$19.14	$25.94	$28.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.89 / $28.23 / $59.36	Facility		$26.89	$28.23	$59.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.89 / $40.34 / $73.95	Facility		$26.89	$40.34	$73.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $24.20 / $24.20	Professional		$24.20	$24.20	$24.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.73 / $44.13 / $73.95	Facility		$30.73	$44.13	$73.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $26.89 / $72.75	Professional		$19.21	$26.89	$72.75
United Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $11.29 / $26.89	Professional		$10.09	$11.29	$26.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $12.10 / $13.93	Professional		$12.10	$12.10	$13.93