Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.28 / $30.34 / $77.84	Facility		$14.28	$30.34	$77.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $14.39 / $25.61	Professional		$9.35	$14.39	$25.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $27.92 / $76.73	Facility		$15.11	$27.92	$76.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $13.09 / $26.35	Professional		$7.11	$13.09	$26.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $26.10 / $42.08	Facility		$9.94	$26.10	$42.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $18.76 / $28.73	Professional		$9.99	$18.76	$28.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $13.88 / $15.26	Professional		$10.24	$13.88	$15.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $15.11 / $31.77	Facility		$14.39	$15.11	$31.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $21.59 / $39.57	Facility		$14.39	$21.59	$39.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $12.95 / $12.95	Professional		$12.95	$12.95	$12.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $23.61 / $39.57	Facility		$16.55	$23.61	$39.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $14.39 / $38.61	Professional		$10.79	$14.39	$38.61
United Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $6.04 / $14.39	Professional		$6.04	$6.04	$14.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $6.48 / $7.45	Professional		$6.48	$6.48	$7.45