Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $94.55 / $208.53	Facility		$25.81	$94.55	$208.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $23.21 / $24.26	Professional		$16.78	$23.21	$24.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $50.33 / $189.39	Facility		$27.10	$50.33	$189.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $24.26 / $44.55	Professional		$12.74	$24.26	$44.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $46.80 / $75.51	Facility		$17.87	$46.80	$75.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $33.35 / $51.62	Professional		$17.89	$33.35	$51.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $24.90 / $27.39	Professional		$18.37	$24.90	$27.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $28.39 / $123.00	Facility		$25.81	$28.39	$123.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $38.71 / $70.98	Facility		$25.81	$38.71	$70.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $23.23 / $23.23	Professional		$23.23	$23.23	$23.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $42.59 / $70.98	Facility		$29.68	$42.59	$70.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.36 / $25.81 / $70.06	Professional		$19.36	$25.81	$70.06
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $10.84 / $25.81	Professional		$10.84	$10.84	$25.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $11.61 / $13.37	Professional		$11.61	$11.61	$13.37