Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.81 / $32.45 / $112.24	Facility		$9.81	$32.45	$112.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $19.14 / $30.15	Professional		$5.44	$19.14	$30.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.37 / $40.74 / $100.00	Facility		$20.37	$40.74	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $15.28 / $38.70	Professional		$5.25	$15.28	$38.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.14 / $29.92 / $52.60	Facility		$3.14	$29.92	$52.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $17.26 / $29.43	Professional		$5.97	$17.26	$29.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $19.64 / $21.61	Professional		$14.50	$19.64	$21.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.37 / $20.37 / $44.97	Facility		$20.37	$20.37	$44.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $30.56 / $56.02	Facility		$18.32	$30.56	$56.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $18.32 / $18.32	Professional		$18.32	$18.32	$18.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.39 / $33.43 / $56.02	Facility		$21.39	$33.43	$56.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $20.37 / $54.79	Professional		$5.81	$20.37	$54.79
United Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $8.56 / $20.37	Professional		$2.67	$8.56	$20.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $9.17 / $10.55	Professional		$9.17	$9.17	$10.55