Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.79 / $40.51 / $115.99	Facility		$19.79	$40.51	$115.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $19.79 / $40.51	Professional		$14.65	$19.79	$40.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $43.81 / $100.00	Facility		$22.10	$43.81	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $18.95 / $35.44	Professional		$9.35	$18.95	$35.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.11 / $34.33 / $60.76	Facility		$13.11	$34.33	$60.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $24.57 / $37.97	Professional		$13.26	$24.57	$37.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $20.30 / $22.34	Professional		$14.98	$20.30	$22.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $22.10 / $53.30	Facility		$21.05	$22.10	$53.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $31.58 / $57.89	Facility		$21.05	$31.58	$57.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $18.95 / $18.95	Professional		$18.95	$18.95	$18.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $34.54 / $57.89	Facility		$24.21	$34.54	$57.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $21.05 / $56.59	Professional		$15.79	$21.05	$56.59
United Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $9.47 / $23.58	Professional		$8.84	$9.47	$23.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $9.47 / $10.90	Professional		$9.47	$9.47	$10.90