Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $45.90 / $154.19	Facility		$28.50	$45.90	$154.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $18.05 / $26.79	Professional		$14.25	$18.05	$26.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $29.93 / $51.30 / $135.38	Facility		$29.93	$51.30	$135.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $22.95 / $46.44	Professional		$11.40	$22.95	$46.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $41.88 / $73.61	Facility		$13.80	$41.88	$73.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $32.63 / $40.78	Professional		$15.06	$32.63	$40.78
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 / $29.73 / $62.91	Facility		$28.50	$29.73	$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 $11.41 / $11.97 / $28.50	Professional		$11.41	$11.97	$28.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $12.83 / $14.76	Professional		$12.83	$12.83	$14.76