Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $43.13 / $149.16	Facility		$18.55	$43.13	$149.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $13.54 / $25.45	Professional		$11.33	$13.54	$25.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $47.37 / $128.58	Facility		$27.07	$47.37	$128.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $20.30 / $44.18	Professional		$9.93	$20.30	$44.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.97 / $39.78 / $69.92	Facility		$5.97	$39.78	$69.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $27.84 / $39.24	Professional		$11.01	$27.84	$39.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $26.11 / $28.72	Professional		$19.27	$26.11	$28.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $27.07 / $59.76	Facility		$27.07	$27.07	$59.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.36 / $40.61 / $74.44	Facility		$24.36	$40.61	$74.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $24.36 / $24.36	Professional		$24.36	$24.36	$24.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.42 / $44.42 / $74.44	Facility		$28.42	$44.42	$74.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $27.07 / $72.75	Professional		$10.98	$27.07	$72.75
United Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $32.47 / $32.47	Facility		$27.07	$32.47	$32.47
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $11.37 / $27.07	Professional		$5.05	$11.37	$27.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $12.18 / $14.02	Professional		$12.18	$12.18	$14.02