Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $78.00 / $148.18	Facility		$26.00	$78.00	$148.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $19.17 / $30.05	Professional		$15.56	$19.17	$30.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $28.76 / $49.30 / $130.10	Facility		$28.76	$49.30	$130.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $23.17 / $44.18	Professional		$10.96	$23.17	$44.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $40.22 / $71.20	Facility		$13.91	$40.22	$71.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $31.80 / $39.93	Professional		$14.54	$31.80	$39.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.42 / $29.06	Professional		$19.50	$26.42	$29.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.39 / $30.13 / $60.46	Facility		$27.39	$30.13	$60.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.39 / $41.09 / $75.31	Facility		$27.39	$41.09	$75.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $24.65 / $24.65	Professional		$24.65	$24.65	$24.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.76 / $44.95 / $75.31	Facility		$28.76	$44.95	$75.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $27.39 / $73.65	Professional		$20.54	$27.39	$73.65
United Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $11.50 / $27.39	Professional		$11.50	$11.50	$27.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $14.19	Professional		$12.33	$12.33	$14.19