Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.78 / $70.00 / $194.21	Facility		$12.78	$70.00	$194.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $12.12 / $20.13	Professional		$9.42	$12.12	$20.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.28 / $27.20 / $72.80	Facility		$14.28	$27.20	$72.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $12.38 / $23.45	Professional		$6.72	$12.38	$23.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $27.85 / $45.34	Facility		$9.42	$27.85	$45.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $17.86 / $27.27	Professional		$9.47	$17.86	$27.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $13.12 / $14.43	Professional		$9.68	$13.12	$14.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $13.60 / $30.02	Facility		$13.60	$13.60	$30.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $20.39 / $37.40	Facility		$13.60	$20.39	$37.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $12.24 / $12.24	Professional		$12.24	$12.24	$12.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $22.44 / $37.40	Facility		$15.64	$22.44	$37.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $13.60 / $36.83	Professional		$10.19	$13.60	$36.83
United Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $15.23	Professional		$5.71	$5.71	$15.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $6.12 / $7.04	Professional		$6.12	$6.12	$7.04