Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.68 / $40.29 / $115.38	Facility		$19.68	$40.29	$115.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $19.68 / $64.98	Professional		$19.68	$19.68	$64.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $40.83 / $118.61	Facility		$21.99	$40.83	$118.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $15.83 / $33.97	Professional		$9.30	$15.83	$33.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $33.75 / $60.44	Facility		$13.03	$33.75	$60.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $24.37 / $37.50	Professional		$13.08	$24.37	$37.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $20.20 / $22.22	Professional		$14.91	$20.20	$22.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.94 / $23.03 / $48.18	Facility		$20.94	$23.03	$48.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.94 / $31.41 / $57.59	Facility		$20.94	$31.41	$57.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $18.85 / $18.85	Professional		$18.85	$18.85	$18.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $34.36 / $57.59	Facility		$24.08	$34.36	$57.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $20.94 / $56.59	Professional		$15.71	$20.94	$56.59
United Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $8.78 / $20.94	Professional		$8.78	$8.78	$20.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $9.42 / $10.85	Professional		$9.42	$9.42	$10.85