Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $50.37 / $138.91	Facility		$23.70	$50.37	$138.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $23.70 / $50.37	Professional		$18.22	$23.70	$50.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26.47 / $49.16 / $119.75	Facility		$26.47	$49.16	$119.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $22.94 / $44.27	Professional		$11.62	$22.94	$44.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $42.69 / $73.76	Facility		$16.29	$42.69	$73.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $33.04 / $47.24	Professional		$16.35	$33.04	$47.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $24.32 / $26.75	Professional		$17.95	$24.32	$26.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.21 / $26.47 / $56.38	Facility		$25.21	$26.47	$56.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.21 / $37.82 / $69.33	Facility		$25.21	$37.82	$69.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $22.69 / $22.69	Professional		$22.69	$22.69	$22.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.99 / $41.37 / $69.33	Facility		$28.99	$41.37	$69.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $25.21 / $68.26	Professional		$18.91	$25.21	$68.26
United Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $10.59 / $25.21	Professional		$10.59	$10.59	$25.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $11.34 / $13.06	Professional		$11.34	$11.34	$13.06