Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $37.03 / $160.54	Facility		$15.56	$37.03	$160.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.01 / $40.02 / $52.52	Professional		$14.01	$40.02	$52.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $31.34 / $201.69	Facility		$16.87	$31.34	$201.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.11 / $30.53	Professional		$7.94	$15.11	$30.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $29.15 / $47.03	Facility		$11.13	$29.15	$47.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $20.71 / $32.14	Professional		$11.19	$20.71	$32.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $15.50 / $17.05	Professional		$11.44	$15.50	$17.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.87 / $56.38	Facility		$16.07	$16.87	$56.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $24.11 / $44.19	Facility		$16.07	$24.11	$44.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $14.46 / $14.46	Professional		$14.46	$14.46	$14.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $26.52 / $44.19	Facility		$18.48	$26.52	$44.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $16.07 / $43.11	Professional		$12.05	$16.07	$43.11
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $6.75 / $16.07	Professional		$6.75	$6.75	$16.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.23 / $8.32	Professional		$7.23	$7.23	$8.32