Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $41.85 / $264.67	Facility		$17.27	$41.85	$264.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $16.66 / $18.37	Professional		$9.74	$16.66	$18.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $34.72 / $334.35	Facility		$19.29	$34.72	$334.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $16.53 / $31.70	Professional		$9.07	$16.53	$31.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $37.61 / $100.79	Facility		$12.72	$37.61	$100.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $24.11 / $36.52	Professional		$12.74	$24.11	$36.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $17.72 / $19.49	Professional		$13.08	$17.72	$19.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.37 / $19.29 / $54.33	Facility		$18.37	$19.29	$54.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.37 / $27.56 / $50.52	Facility		$18.37	$27.56	$50.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.53 / $16.53 / $16.53	Professional		$16.53	$16.53	$16.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.13 / $30.15 / $50.52	Facility		$21.13	$30.15	$50.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $18.37 / $49.40	Professional		$13.78	$18.37	$49.40
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $7.72 / $18.37	Professional		$7.72	$7.72	$18.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $8.27 / $9.52	Professional		$8.27	$8.27	$9.52