Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.29 / $39.95 / $124.80	Facility		$21.29	$39.95	$124.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $21.29 / $39.95	Professional		$17.53	$21.29	$39.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $45.30 / $139.00	Facility		$23.78	$45.30	$139.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $20.39 / $43.04	Professional		$11.18	$20.39	$43.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.69 / $41.06 / $66.23	Facility		$15.69	$41.06	$66.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $29.48 / $45.29	Professional		$15.67	$29.48	$45.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $21.85 / $24.03	Professional		$16.12	$21.85	$24.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $23.78 / $63.55	Facility		$22.65	$23.78	$63.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $33.97 / $62.29	Facility		$22.65	$33.97	$62.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $20.39 / $20.39	Professional		$20.39	$20.39	$20.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.05 / $37.17 / $62.29	Facility		$26.05	$37.17	$62.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.65 / $61.08	Professional		$16.98	$22.65	$61.08
United Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $10.19 / $25.37	Professional		$9.51	$10.19	$25.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $11.73	Professional		$10.19	$10.19	$11.73