Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.90 / $47.28 / $163.54	Facility		$27.90	$47.28	$163.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $27.90 / $29.68	Professional		$15.73	$27.90	$29.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $31.16 / $53.42 / $141.54	Facility		$31.16	$53.42	$141.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $24.97 / $56.39	Professional		$14.66	$24.97	$56.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.54 / $55.86 / $86.81	Facility		$20.54	$55.86	$86.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $38.26 / $59.41	Professional		$20.66	$38.26	$59.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $28.63 / $31.49	Professional		$21.13	$28.63	$31.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $31.16 / $65.52	Facility		$29.68	$31.16	$65.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $44.52 / $81.62	Facility		$29.68	$44.52	$81.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $26.71	Professional		$26.71	$26.71	$26.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.16 / $48.70 / $81.62	Facility		$31.16	$48.70	$81.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.26 / $29.68 / $79.94	Professional		$22.26	$29.68	$79.94
United Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $12.47 / $33.24	Professional		$12.47	$12.47	$33.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $13.36 / $15.37	Professional		$13.36	$13.36	$15.37