Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $71.59 / $166.95	Facility		$30.86	$71.59	$166.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $21.12 / $30.86	Professional		$15.42	$21.12	$30.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $54.00 / $146.59	Facility		$32.40	$54.00	$146.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $26.44 / $48.00	Professional		$12.34	$26.44	$48.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $63.19 / $101.00	Facility		$16.60	$63.19	$101.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $40.64 / $46.95	Professional		$16.27	$40.64	$46.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $30.86 / $30.86	Professional		$30.86	$30.86	$30.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $30.86 / $68.12	Facility		$30.86	$30.86	$68.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $46.29 / $84.87	Facility		$30.86	$46.29	$84.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.56 / $32.40 / $43.82	Professional		$26.56	$32.40	$43.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35.49 / $50.64 / $84.87	Facility		$35.49	$50.64	$84.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $30.86 / $83.53	Professional		$23.15	$30.86	$83.53
United Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $12.96 / $33.51	Professional		$12.96	$12.96	$33.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $15.99 / $15.99	Professional		$15.99	$15.99	$15.99