Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $34.70 / $120.01	Facility		$20.47	$34.70	$120.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $20.47 / $34.40	Professional		$12.20	$20.47	$34.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $22.87 / $42.25 / $103.46	Facility		$22.87	$42.25	$103.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $18.50 / $34.00	Professional		$8.71	$18.50	$34.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $32.00 / $56.64	Facility		$11.30	$32.00	$56.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $24.78 / $30.98	Professional		$11.60	$24.78	$30.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $21.78 / $21.78	Professional		$21.78	$21.78	$21.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.78 / $21.78 / $48.08	Facility		$21.78	$21.78	$48.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $21.78 / $21.78	Facility		$19.60	$21.78	$21.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $22.87 / $30.93	Professional		$18.50	$22.87	$30.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.05 / $35.74 / $59.90	Facility		$25.05	$35.74	$59.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $21.78 / $58.38	Professional		$16.34	$21.78	$58.38
United Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $9.15 / $24.39	Professional		$9.15	$9.15	$24.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $11.28 / $11.28	Professional		$11.28	$11.28	$11.28