Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.53 / $35.35 / $91.03	Facility		$15.53	$35.35	$91.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $15.53 / $35.35	Professional		$12.78	$15.53	$35.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.35 / $38.00 / $100.00	Facility		$17.35	$38.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $14.87 / $28.50	Professional		$8.16	$14.87	$28.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.44 / $29.95 / $48.33	Facility		$11.44	$29.95	$48.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $21.88 / $33.11	Professional		$11.53	$21.88	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $15.94 / $17.53	Professional		$11.76	$15.94	$17.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $17.35 / $43.05	Facility		$16.52	$17.35	$43.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $24.78 / $45.43	Facility		$16.52	$24.78	$45.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $14.87 / $14.87	Professional		$14.87	$14.87	$14.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $27.26 / $45.43	Facility		$19.00	$27.26	$45.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $16.52 / $44.91	Professional		$12.39	$16.52	$44.91
United Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $7.43 / $18.50	Professional		$6.94	$7.43	$18.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $7.43 / $8.56	Professional		$7.43	$7.43	$8.56