Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.46 / $25.92 / $130.19	Facility		$15.46	$25.92	$130.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $10.79 / $11.18	Professional		$6.29	$10.79	$11.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $24.27 / $116.00	Facility		$12.48	$24.27	$116.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $10.70 / $20.55	Professional		$5.87	$10.70	$20.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.23 / $24.35 / $58.29	Facility		$8.23	$24.35	$58.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $15.44 / $23.86	Professional		$8.26	$15.44	$23.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $11.47 / $12.61	Professional		$8.46	$11.47	$12.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $12.48 / $26.25	Facility		$11.89	$12.48	$26.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $17.84 / $32.70	Facility		$11.89	$17.84	$32.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $10.70 / $10.70	Professional		$10.70	$10.70	$10.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.67 / $19.62 / $32.70	Facility		$13.67	$19.62	$32.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $11.89 / $32.34	Professional		$8.92	$11.89	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $4.99 / $11.89	Professional		$4.99	$4.99	$11.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $5.35 / $6.16	Professional		$5.35	$5.35	$6.16