Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.01 / $39.00 / $134.88	Facility		$23.01	$39.00	$134.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $23.01 / $36.22	Professional		$13.71	$23.01	$36.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $44.06 / $123.25	Facility		$25.70	$44.06	$123.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $18.36 / $39.65	Professional		$9.78	$18.36	$39.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.14 / $35.96 / $63.20	Facility		$9.14	$35.96	$63.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $25.96 / $35.11	Professional		$12.98	$25.96	$35.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.43 / $18.89 / $24.48	Professional		$17.43	$18.89	$24.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.48 / $24.48 / $54.04	Facility		$24.48	$24.48	$54.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.48 / $36.72 / $67.31	Facility		$24.48	$36.72	$67.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $22.03 / $22.03	Professional		$22.03	$22.03	$22.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $40.17 / $67.31	Facility		$25.70	$40.17	$67.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $24.48 / $66.47	Professional		$16.80	$24.48	$66.47
United Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $10.28 / $24.48	Professional		$7.61	$10.28	$24.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $11.02 / $12.68	Professional		$11.02	$11.02	$12.68