Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $41.64 / $98.89	Facility		$18.28	$41.64	$98.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $16.57 / $17.18	Professional		$9.68	$16.57	$17.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $42.04 / $189.00	Facility		$19.19	$42.04	$189.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $16.45 / $31.55	Professional		$9.02	$16.45	$31.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $33.13 / $53.46	Facility		$12.65	$33.13	$53.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $23.52 / $36.52	Professional		$12.74	$23.52	$36.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $17.63 / $19.39	Professional		$13.01	$17.63	$19.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $19.19 / $40.35	Facility		$18.28	$19.19	$40.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $27.42 / $50.27	Facility		$18.28	$27.42	$50.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $16.45 / $16.45	Professional		$16.45	$16.45	$16.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.02 / $30.16 / $50.27	Facility		$21.02	$30.16	$50.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $18.28 / $49.40	Professional		$13.71	$18.28	$49.40
United Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $7.68 / $18.28	Professional		$7.68	$7.68	$18.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $8.23 / $9.47	Professional		$8.23	$8.23	$9.47