Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.01 / $43.27 / $111.41	Facility		$19.01	$43.27	$111.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $18.60 / $29.93	Professional		$10.72	$18.60	$29.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $40.44 / $119.00	Facility		$21.23	$40.44	$119.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $18.39 / $34.90	Professional		$9.99	$18.39	$34.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $36.68 / $59.13	Facility		$13.98	$36.68	$59.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $26.79 / $40.42	Professional		$14.12	$26.79	$40.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $19.51 / $21.46	Professional		$14.40	$19.51	$21.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $21.23 / $44.64	Facility		$20.22	$21.23	$44.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $30.33 / $55.61	Facility		$20.22	$30.33	$55.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.25 / $33.36 / $55.61	Facility		$23.25	$33.36	$55.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $20.22 / $54.79	Professional		$15.17	$20.22	$54.79
United Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $24.26 / $24.26	Facility		$20.22	$24.26	$24.26
United Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $10.02 / $20.22	Professional		$8.49	$10.02	$20.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $9.10 / $10.47	Professional		$9.10	$9.10	$10.47