Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $68.75 / $167.63	Facility		$21.00	$68.75	$167.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $19.18 / $25.29	Professional		$14.29	$19.18	$25.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $43.98 / $124.10	Facility		$23.09	$43.98	$124.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $19.79 / $37.95	Professional		$10.86	$19.79	$37.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.55 / $35.44 / $64.31	Facility		$12.55	$35.44	$64.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $29.03 / $43.83	Professional		$15.32	$29.03	$43.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $21.21 / $23.33	Professional		$15.65	$21.21	$23.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $23.09 / $48.54	Facility		$21.99	$23.09	$48.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $32.99 / $60.47	Facility		$21.99	$32.99	$60.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $19.79 / $19.79	Professional		$19.79	$19.79	$19.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.29 / $36.28 / $60.47	Facility		$25.29	$36.28	$60.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $21.99 / $59.28	Professional		$16.48	$21.99	$59.28
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $11.00 / $24.15	Professional		$9.24	$11.00	$24.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $9.90 / $11.39	Professional		$9.90	$9.90	$11.39