Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $37.53 / $116.67	Facility		$16.34	$37.53	$116.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $15.05 / $26.72	Professional		$8.66	$15.05	$26.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $33.24 / $129.00	Facility		$17.16	$33.24	$129.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $14.87 / $28.20	Professional		$8.07	$14.87	$28.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.31 / $29.63 / $47.79	Facility		$11.31	$29.63	$47.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $21.06 / $32.63	Professional		$11.36	$21.06	$32.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $15.76 / $17.33	Professional		$11.63	$15.76	$17.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $17.16 / $42.03	Facility		$16.34	$17.16	$42.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $24.51 / $44.94	Facility		$16.34	$24.51	$44.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $14.71 / $14.71	Professional		$14.71	$14.71	$14.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $26.96 / $44.94	Facility		$18.79	$26.96	$44.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $16.34 / $44.01	Professional		$12.26	$16.34	$44.01
United Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $6.86 / $16.34	Professional		$6.86	$6.86	$16.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $7.35 / $8.46	Professional		$7.35	$7.35	$8.46