Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.13 / $48.17 / $127.45	Facility		$23.13	$48.17	$127.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $21.74 / $46.02	Professional		$12.25	$21.74	$46.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $24.29 / $44.87 / $182.22	Facility		$24.29	$44.87	$182.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $21.05 / $55.44	Professional		$11.04	$21.05	$55.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $40.57 / $67.64	Facility		$15.48	$40.57	$67.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $42.10 / $67.75	Professional		$23.36	$42.10	$67.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $16.47 / $23.13	Professional		$7.90	$16.47	$23.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.13 / $26.14 / $51.06	Facility		$23.13	$26.14	$51.06
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $23.13 / $23.13	Professional		$23.13	$23.13	$23.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.13 / $34.70 / $63.61	Facility		$23.13	$34.70	$63.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $20.82 / $20.82	Professional		$20.82	$20.82	$20.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.60 / $37.96 / $63.61	Facility		$26.60	$37.96	$63.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $23.13 / $108.68	Professional		$17.35	$23.13	$108.68
United Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $9.71 / $25.91	Professional		$9.71	$9.71	$25.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $10.41 / $11.98	Professional		$10.41	$10.41	$11.98