Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $39.24 / $93.84	Facility		$16.89	$39.24	$93.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $15.44 / $16.01	Professional		$9.02	$15.44	$16.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $34.06 / $192.95	Facility		$17.88	$34.06	$192.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $17.03 / $54.00	Professional		$8.41	$17.03	$54.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.79 / $34.86 / $54.24	Facility		$11.79	$34.86	$54.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $35.11 / $57.04	Professional		$19.89	$35.11	$57.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $11.30 / $18.07	Professional		$8.22	$11.30	$18.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $19.23 / $37.59	Facility		$17.03	$19.23	$37.59
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $17.03 / $17.03	Professional		$17.03	$17.03	$17.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $25.55 / $46.83	Facility		$17.03	$25.55	$46.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.33 / $15.33	Professional		$15.33	$15.33	$15.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $28.10 / $46.83	Facility		$19.57	$28.10	$46.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $17.39 / $92.51	Professional		$12.77	$17.39	$92.51
United Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $7.15 / $17.03	Professional		$7.15	$7.15	$17.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $7.66 / $8.82	Professional		$7.66	$7.66	$8.82