Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.13 / $35.81 / $123.87	Facility		$21.13	$35.81	$123.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $21.13 / $45.12	Professional		$18.85	$21.13	$45.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $43.61 / $106.78	Facility		$23.60	$43.61	$106.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $19.13 / $35.00	Professional		$8.99	$19.13	$35.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $33.02 / $58.44	Facility		$11.69	$33.02	$58.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $25.61 / $32.01	Professional		$11.94	$25.61	$32.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $22.48 / $22.48	Professional		$22.48	$22.48	$22.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $22.93 / $49.62	Facility		$22.48	$22.93	$49.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $22.48 / $22.48	Facility		$20.23	$22.48	$22.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $23.60 / $31.92	Professional		$19.13	$23.60	$31.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.85 / $36.89 / $61.82	Facility		$25.85	$36.89	$61.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $22.48 / $61.08	Professional		$16.86	$22.48	$61.08
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $25.18	Professional		$13.49	$13.49	$25.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $11.64 / $11.64	Professional		$11.64	$11.64	$11.64