Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $40.95 / $117.20	Facility		$19.98	$40.95	$117.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $19.98 / $40.95	Professional		$14.81	$19.98	$40.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $41.48 / $101.03	Facility		$22.33	$41.48	$101.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $19.14 / $34.54	Professional		$9.44	$19.14	$34.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $34.71 / $61.44	Facility		$13.25	$34.71	$61.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $24.92 / $37.97	Professional		$13.26	$24.92	$37.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.52 / $22.57	Professional		$15.14	$20.52	$22.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $22.33 / $54.33	Facility		$21.27	$22.33	$54.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $31.91 / $58.49	Facility		$21.27	$31.91	$58.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $19.14 / $19.14	Professional		$19.14	$19.14	$19.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.46 / $34.90 / $58.49	Facility		$24.46	$34.90	$58.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $21.27 / $57.48	Professional		$15.95	$21.27	$57.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $8.93 / $23.82	Professional		$8.93	$8.93	$23.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $9.57 / $11.02	Professional		$9.57	$9.57	$11.02