Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.29 / $16.00 / $55.34	Facility		$7.29	$16.00	$55.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $7.29 / $17.48	Professional		$7.29	$7.29	$17.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $92.87 / $136.77	Facility		$10.39	$92.87	$136.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $6.98 / $14.73	Professional		$3.83	$6.98	$14.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $15.88 / $50.19	Facility		$5.37	$15.88	$50.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $10.27 / $15.58	Professional		$5.34	$10.27	$15.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $7.48 / $8.22	Professional		$5.52	$7.48	$8.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.75 / $8.14 / $17.11	Facility		$7.75	$8.14	$17.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.98 / $7.75 / $18.80	Facility		$6.98	$7.75	$18.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $6.98 / $6.98	Professional		$6.98	$6.98	$6.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $65.65 / $111.13 / $216.12	Facility		$65.65	$111.13	$216.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $7.75 / $20.66	Professional		$5.81	$7.75	$20.66
United Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $3.26 / $7.75	Professional		$3.26	$3.26	$7.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $3.49 / $4.01	Professional		$3.49	$3.49	$4.01