Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.21 / $30.06 / $77.42	Facility		$13.21	$30.06	$77.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $12.52 / $13.21	Professional		$7.45	$12.52	$13.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.75 / $28.10 / $120.35	Facility		$14.75	$28.10	$120.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $12.65 / $24.25	Professional		$6.94	$12.65	$24.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $22.64 / $41.09	Facility		$9.72	$22.64	$41.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $18.30 / $28.24	Professional		$9.81	$18.30	$28.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.55 / $14.90	Professional		$10.00	$13.55	$14.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $14.75 / $34.85	Facility		$14.05	$14.75	$34.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $21.08 / $38.64	Facility		$14.05	$21.08	$38.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $12.65 / $12.65	Professional		$12.65	$12.65	$12.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $23.18 / $38.64	Facility		$16.16	$23.18	$38.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $14.05 / $37.72	Professional		$10.54	$14.05	$37.72
United Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $16.86 / $16.86	Facility		$14.05	$16.86	$16.86
United Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $5.90 / $14.05	Professional		$5.90	$5.90	$14.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $6.32 / $7.28	Professional		$6.32	$6.32	$7.28