Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $40.21 / $107.00	Facility		$17.64	$40.21	$107.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $16.01 / $28.85	Professional		$9.35	$16.01	$28.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $34.42 / $179.05	Facility		$18.53	$34.42	$179.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $16.05 / $30.45	Professional		$8.72	$16.05	$30.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $36.13 / $51.62	Facility		$12.22	$36.13	$51.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $22.82 / $35.06	Professional		$12.22	$22.82	$35.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $17.03 / $18.73	Professional		$12.56	$17.03	$18.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $18.53 / $44.08	Facility		$17.64	$18.53	$44.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $26.47 / $48.54	Facility		$17.64	$26.47	$48.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $15.89 / $15.89	Professional		$15.89	$15.89	$15.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $29.11 / $48.54	Facility		$20.30	$29.11	$48.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $17.64 / $47.60	Professional		$13.24	$17.64	$47.60
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $17.64	Professional		$7.41	$7.41	$17.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $9.14	Professional		$7.94	$7.94	$9.14