Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.78 / $53.94 / $183.18	Facility		$14.78	$53.94	$183.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $31.83 / $50.11	Professional		$19.21	$31.83	$50.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $60.95 / $160.84	Facility		$33.86	$60.95	$160.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $28.62 / $54.94	Professional		$13.54	$28.62	$54.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.18 / $69.33 / $88.04	Facility		$17.18	$69.33	$88.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $39.24 / $49.67	Professional		$17.82	$39.24	$49.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $32.65 / $35.92	Professional		$24.11	$32.65	$35.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $35.54 / $74.75	Facility		$33.86	$35.54	$74.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.47 / $50.79 / $93.12	Facility		$30.47	$50.79	$93.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $30.47 / $30.47	Professional		$30.47	$30.47	$30.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $55.56 / $93.12	Facility		$35.54	$55.56	$93.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $33.86 / $91.62	Professional		$25.40	$33.86	$91.62
United Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $14.22 / $33.86	Professional		$14.20	$14.22	$33.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $15.24 / $17.54	Professional		$15.24	$15.24	$17.54