Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $26.03 / $90.03	Facility		$15.36	$26.03	$90.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $15.36 / $24.18	Professional		$9.15	$15.36	$24.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.97 / $77.62 / $208.61	Facility		$17.97	$77.62	$208.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $12.54 / $26.62	Professional		$6.54	$12.54	$26.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.59 / $24.00 / $42.19	Facility		$6.59	$24.00	$42.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $17.86 / $23.75	Professional		$8.65	$17.86	$23.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $15.76 / $17.33	Professional		$11.63	$15.76	$17.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $17.16 / $36.07	Facility		$16.34	$17.16	$36.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $16.34 / $28.60	Facility		$14.71	$16.34	$28.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $14.71 / $14.71	Professional		$14.71	$14.71	$14.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $65.65 / $162.93 / $329.64	Facility		$65.65	$162.93	$329.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $16.34 / $44.01	Professional		$12.12	$16.34	$44.01
United Facility/Professional Facility Modifier Low / Median / High Price $7.18 / $10.62 / $15.52	Facility		$7.18	$10.62	$15.52
United Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $6.86 / $16.34	Professional		$5.45	$6.86	$16.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $7.35 / $8.46	Professional		$7.35	$7.35	$8.46