Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $43.70 / $112.51	Facility		$19.19	$43.70	$112.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $19.19 / $42.02	Professional		$18.37	$19.19	$42.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.44 / $46.97 / $140.97	Facility		$21.44	$46.97	$140.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $18.38 / $35.25	Professional		$10.08	$18.38	$35.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $37.04 / $59.72	Facility		$14.14	$37.04	$59.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $26.33 / $40.90	Professional		$14.12	$26.33	$40.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $19.70 / $21.67	Professional		$14.53	$19.70	$21.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $21.44 / $46.13	Facility		$20.42	$21.44	$46.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $30.63 / $56.16	Facility		$20.42	$30.63	$56.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $18.38 / $18.38	Professional		$18.38	$18.38	$18.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.48 / $33.69 / $56.16	Facility		$23.48	$33.69	$56.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $20.42 / $54.79	Professional		$15.32	$20.42	$54.79
United Facility/Professional Facility Modifier Low / Median / High Price $13.27 / $19.39 / $20.42	Facility		$13.27	$19.39	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $8.58 / $20.42	Professional		$8.58	$8.58	$20.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.19 / $10.58	Professional		$9.19	$9.19	$10.58