Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $28.58 / $73.61	Facility		$12.56	$28.58	$73.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $12.56 / $28.58	Professional		$10.34	$12.56	$28.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.03 / $26.72 / $111.00	Facility		$14.03	$26.72	$111.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $12.02 / $23.05	Professional		$6.60	$12.02	$23.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.25 / $24.23 / $39.06	Facility		$9.25	$24.23	$39.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $17.20 / $26.78	Professional		$9.30	$17.20	$26.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $12.89 / $14.17	Professional		$9.51	$12.89	$14.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $14.03 / $31.78	Facility		$13.36	$14.03	$31.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $20.04 / $36.74	Facility		$13.36	$20.04	$36.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $22.04 / $36.74	Facility		$15.36	$22.04	$36.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $13.36 / $35.93	Professional		$8.52	$13.36	$35.93
United Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $6.01 / $13.36	Professional		$5.61	$6.01	$13.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $6.01 / $6.92	Professional		$6.01	$6.01	$6.92