Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.04 / $42.26 / $140.88	Facility		$24.04	$42.26	$140.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $24.04 / $42.00	Professional		$17.13	$24.04	$42.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26.85 / $55.00 / $121.46	Facility		$26.85	$55.00	$121.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $22.61 / $41.35	Professional		$10.23	$22.61	$41.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $37.56 / $66.48	Facility		$13.57	$37.56	$66.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $29.32 / $38.96	Professional		$13.60	$29.32	$38.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $24.67 / $27.13	Professional		$18.20	$24.67	$27.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $26.85 / $136.18	Facility		$25.57	$26.85	$136.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.01 / $25.57 / $25.57	Facility		$23.01	$25.57	$25.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $23.01 / $23.01	Professional		$23.01	$23.01	$23.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.41 / $41.96 / $70.31	Facility		$29.41	$41.96	$70.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $25.57 / $69.16	Professional		$19.18	$25.57	$69.16
United Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $10.74 / $25.57	Professional		$10.74	$10.74	$25.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $13.25	Professional		$13.25	$13.25	$13.25