Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.46 / $43.60 / $180.40	Facility		$12.46	$43.60	$180.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $11.08 / $21.48	Professional		$7.83	$11.08	$21.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $24.10 / $133.86	Facility		$12.65	$24.10	$133.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $11.33 / $40.65	Professional		$5.95	$11.33	$40.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.34 / $24.66 / $148.16	Facility		$8.34	$24.66	$148.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $30.24 / $46.28	Professional		$16.80	$30.24	$46.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $10.72 / $12.78	Professional		$8.22	$10.72	$12.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $13.62 / $26.60	Facility		$12.05	$13.62	$26.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $16.53	Professional		$12.05	$12.05	$16.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $18.07 / $33.14	Facility		$12.05	$18.07	$33.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $10.85 / $10.85	Professional		$10.85	$10.85	$10.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.86 / $19.88 / $33.14	Facility		$13.86	$19.88	$33.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $12.31 / $79.04	Professional		$9.03	$12.31	$79.04
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.42 / $14.46	Professional		$5.05	$5.42	$14.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $5.42 / $6.24	Professional		$5.42	$5.42	$6.24