Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $40.47 / $106.45	Facility		$18.16	$40.47	$106.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $18.16 / $40.47	Professional		$14.64	$18.16	$40.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.29 / $38.61 / $91.77	Facility		$20.29	$38.61	$91.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $17.57 / $32.57	Professional		$9.34	$17.57	$32.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.09 / $34.40 / $56.52	Facility		$13.09	$34.40	$56.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $24.57 / $37.97	Professional		$13.08	$24.57	$37.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $18.64 / $20.50	Professional		$13.75	$18.64	$20.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $19.32 / $42.65	Facility		$19.32	$19.32	$42.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $28.98 / $53.13	Facility		$19.32	$28.98	$53.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $17.39 / $17.39	Professional		$17.39	$17.39	$17.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $31.70 / $53.13	Facility		$22.22	$31.70	$53.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $19.32 / $52.10	Professional		$14.49	$19.32	$52.10
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $8.69 / $21.64	Professional		$8.11	$8.69	$21.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $8.69 / $10.01	Professional		$8.69	$8.69	$10.01