Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.74 / $71.69 / $166.19	Facility		$35.74	$71.69	$166.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $33.60 / $89.01	Professional		$17.87	$33.60	$89.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $37.53 / $64.33 / $169.77	Facility		$37.53	$64.33	$169.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $30.87 / $57.77	Professional		$14.30	$30.87	$57.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $52.50 / $92.92	Facility		$18.54	$52.50	$92.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.87 / $40.89 / $53.57	Professional		$18.87	$40.89	$53.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $34.47 / $37.92	Professional		$25.44	$34.47	$37.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.74 / $37.53 / $78.90	Facility		$35.74	$37.53	$78.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.74 / $53.61 / $98.29	Facility		$35.74	$53.61	$98.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $32.17 / $32.17	Professional		$32.17	$32.17	$32.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.53 / $58.65 / $98.29	Facility		$37.53	$58.65	$98.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $35.74 / $96.11	Professional		$23.08	$35.74	$96.11
United Facility/Professional Facility Modifier Low / Median / High Price $35.74 / $42.89 / $42.89	Facility		$35.74	$42.89	$42.89
United Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $15.01 / $35.74	Professional		$15.01	$15.01	$35.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $18.51	Professional		$16.07	$16.07	$18.51