Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $65.63 / $18,711.00	Facility		$23.40	$65.63	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $16.30 / $29.43	Professional		$12.06	$16.30	$29.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $35.10 / $86.10	Facility		$18.89	$35.10	$86.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $16.20 / $31.05	Professional		$8.89	$16.20	$31.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.46 / $32.63 / $52.65	Facility		$12.46	$32.63	$52.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $23.17 / $36.04	Professional		$12.57	$23.17	$36.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $17.36 / $19.09	Professional		$12.81	$17.36	$19.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.89 / $39.74	Facility		$18.00	$18.89	$39.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $27.00 / $49.50	Facility		$18.00	$27.00	$49.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $16.20	Professional		$16.20	$16.20	$16.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $29.70 / $49.50	Facility		$20.70	$29.70	$49.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $18.00 / $48.50	Professional		$13.50	$18.00	$48.50
United Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $13.58 / $13.58	Facility		$13.58	$13.58	$13.58
United Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $7.56 / $20.16	Professional		$7.56	$7.56	$20.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $8.10 / $9.32	Professional		$8.10	$8.10	$9.32