Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $30.39 / $106.27	Facility		$16.20	$30.39	$106.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $11.95 / $15.23	Professional		$8.09	$11.95	$15.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $31.43 / $76.95	Facility		$17.01	$31.43	$76.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $14.58 / $26.05	Professional		$6.51	$14.58	$26.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.14 / $33.17 / $65.58	Facility		$9.14	$33.17	$65.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $19.11 / $26.30	Professional		$9.11	$19.11	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $12.50 / $16.20	Professional		$11.53	$12.50	$16.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $17.01 / $35.76	Facility		$16.20	$17.01	$35.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $24.30 / $44.55	Facility		$16.20	$24.30	$44.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $14.58 / $14.58	Professional		$14.58	$14.58	$14.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $26.58 / $44.55	Facility		$18.63	$26.58	$44.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $16.20 / $44.01	Professional		$12.15	$16.20	$44.01
United Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $7.54 / $16.20	Professional		$6.80	$7.54	$16.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $7.29 / $8.39	Professional		$7.29	$7.29	$8.39