Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.36 / $59.61 / $166.24	Facility		$28.36	$59.61	$166.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $28.36 / $59.61	Professional		$21.56	$28.36	$59.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $31.68 / $64.45 / $299.00	Facility		$31.68	$64.45	$299.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $27.45 / $57.32	Professional		$13.76	$27.45	$57.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $34.69 / $43.37	Professional		$34.69	$34.69	$43.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $29.10 / $32.01	Professional		$21.48	$29.10	$32.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $31.68 / $66.59	Facility		$30.17	$31.68	$66.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $45.26 / $82.97	Facility		$30.17	$45.26	$82.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $27.15 / $27.15	Professional		$27.15	$27.15	$27.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.70 / $49.51 / $82.97	Facility		$34.70	$49.51	$82.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $30.17 / $81.73	Professional		$22.63	$30.17	$81.73
United Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $12.67 / $33.79	Professional		$12.67	$12.67	$33.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $13.58 / $15.63	Professional		$13.58	$13.58	$15.63