Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.12 / $48.28 / $164.86	Facility		$28.12	$48.28	$164.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $26.80 / $46.13	Professional		$21.46	$26.80	$46.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $31.42 / $56.73 / $183.39	Facility		$31.42	$56.73	$183.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $25.83 / $64.22	Professional		$11.97	$25.83	$64.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.53 / $43.96 / $77.80	Facility		$15.53	$43.96	$77.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $46.92 / $68.23	Professional		$24.45	$46.92	$68.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $11.30 / $31.74	Professional		$8.22	$11.30	$31.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $33.79 / $66.05	Facility		$29.92	$33.79	$66.05
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $29.92 / $29.92	Professional		$29.92	$29.92	$29.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $44.88 / $82.28	Facility		$29.92	$44.88	$82.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $26.93 / $26.93	Professional		$26.93	$26.93	$26.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $49.10 / $82.28	Facility		$34.40	$49.10	$82.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $29.92 / $127.54	Professional		$22.44	$29.92	$127.54
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $12.57 / $29.92	Professional		$12.57	$12.57	$29.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $13.46 / $15.50	Professional		$13.46	$13.46	$15.50