Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $42.20 / $106.04	Facility		$19.60	$42.20	$106.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $22.87 / $33.17	Professional		$16.67	$22.87	$33.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.58 / $45.08 / $100.00	Facility		$20.58	$45.08	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $17.64 / $33.79	Professional		$9.68	$17.64	$33.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $40.13 / $63.56	Facility		$13.56	$40.13	$63.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $25.90 / $38.96	Professional		$13.60	$25.90	$38.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $18.91 / $20.80	Professional		$13.95	$18.91	$20.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $20.58 / $43.27	Facility		$19.60	$20.58	$43.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $29.40 / $53.90	Facility		$19.60	$29.40	$53.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $17.64 / $17.64	Professional		$17.64	$17.64	$17.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $32.34 / $53.90	Facility		$22.54	$32.34	$53.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $19.60 / $52.99	Professional		$14.70	$19.60	$52.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $8.23 / $19.60	Professional		$8.23	$8.23	$19.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $8.82 / $10.15	Professional		$8.82	$8.82	$10.15