Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.79 / $56.28 / $157.04	Facility		$26.79	$56.28	$157.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $26.79 / $56.28	Professional		$16.22	$26.79	$56.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $29.93 / $55.57 / $182.00	Facility		$29.93	$55.57	$182.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $25.65 / $48.96	Professional		$12.99	$25.65	$48.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $47.71 / $83.39	Facility		$18.20	$47.71	$83.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $34.04 / $52.59	Professional		$18.25	$34.04	$52.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.29 / $27.49 / $30.23	Professional		$20.29	$27.49	$30.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $29.93 / $62.91	Facility		$28.50	$29.93	$62.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $42.75 / $78.38	Facility		$28.50	$42.75	$78.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $25.65 / $25.65	Professional		$25.65	$25.65	$25.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.78 / $46.77 / $78.38	Facility		$32.78	$46.77	$78.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.50 / $77.25	Professional		$21.38	$28.50	$77.25
United Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $11.97 / $31.92	Professional		$11.97	$11.97	$31.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $12.83 / $14.76	Professional		$12.83	$12.83	$14.76