Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.00 / $55.93 / $189.95	Facility		$33.00	$55.93	$189.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $33.00 / $35.82	Professional		$13.86	$33.00	$35.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36.86 / $61.44 / $166.77	Facility		$36.86	$61.44	$166.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $26.33 / $54.00	Professional		$14.04	$26.33	$54.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $51.57 / $90.65	Facility		$8.91	$51.57	$90.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $37.04 / $50.59	Professional		$18.52	$37.04	$50.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $27.09 / $35.11	Professional		$25.00	$27.09	$35.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $35.11 / $77.51	Facility		$35.11	$35.11	$77.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $49.15 / $96.55	Facility		$35.11	$49.15	$96.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $36.86 / $49.86	Professional		$19.38	$36.86	$49.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.86 / $57.62 / $96.55	Facility		$36.86	$57.62	$96.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $35.11 / $94.31	Professional		$21.42	$35.11	$94.31
United Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $12.68 / $12.68	Facility		$12.68	$12.68	$12.68
United Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $14.75 / $35.11	Professional		$9.61	$14.75	$35.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $15.80 / $18.19	Professional		$15.80	$15.80	$18.19