Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.23 / $62.13 / $214.89	Facility		$8.23	$62.13	$214.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $36.65 / $57.72	Professional		$15.17	$36.65	$57.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $64.40 / $185.25	Facility		$39.00	$64.40	$185.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $29.25 / $63.43	Professional		$15.60	$29.25	$63.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $57.29 / $100.70	Facility		$13.57	$57.29	$100.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $40.02 / $56.27	Professional		$9.26	$40.02	$56.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $37.61 / $41.38	Professional		$27.76	$37.61	$41.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $39.00 / $86.09	Facility		$39.00	$39.00	$86.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.10 / $58.50 / $107.25	Facility		$35.10	$58.50	$107.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $35.10 / $35.10	Professional		$35.10	$35.10	$35.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $64.00 / $107.25	Facility		$40.95	$64.00	$107.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $39.00 / $105.09	Professional		$11.15	$39.00	$105.09
United Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $16.38 / $39.00	Professional		$11.32	$16.38	$39.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $20.20	Professional		$17.55	$17.55	$20.20