Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.16 / $44.60 / $104.68	Facility		$25.16	$44.60	$104.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $18.19 / $39.83	Professional		$18.19	$18.19	$39.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $39.51 / $100.00	Facility		$20.32	$39.51	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $17.61 / $36.77	Professional		$9.56	$17.61	$36.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $39.63 / $97.97	Facility		$13.40	$39.63	$97.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $25.45 / $38.47	Professional		$13.43	$25.45	$38.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $19.35 / $21.28	Professional		$15.48	$19.35	$21.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $20.32 / $42.72	Facility		$19.35	$20.32	$42.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $29.03 / $53.21	Facility		$19.35	$29.03	$53.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $17.42 / $17.42	Professional		$17.42	$17.42	$17.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $31.93 / $53.21	Facility		$22.25	$31.93	$53.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $19.35 / $52.10	Professional		$14.51	$19.35	$52.10
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $21.67	Professional		$8.13	$8.13	$21.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $10.02	Professional		$8.71	$8.71	$10.02