Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $63.99 / $221.34	Facility		$22.33	$63.99	$221.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $37.76 / $59.45	Professional		$12.40	$37.76	$59.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $64.27 / $190.81	Facility		$40.17	$64.27	$190.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $30.13 / $65.13	Professional		$11.95	$30.13	$65.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.19 / $59.01 / $103.72	Facility		$7.19	$59.01	$103.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $39.34 / $57.82	Professional		$13.34	$39.34	$57.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $38.75 / $42.62	Professional		$28.60	$38.75	$42.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.17 / $40.17 / $88.68	Facility		$40.17	$40.17	$88.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.15 / $60.26 / $110.47	Facility		$36.15	$60.26	$110.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $36.15 / $36.15	Professional		$36.15	$36.15	$36.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.18 / $65.92 / $110.47	Facility		$42.18	$65.92	$110.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $40.17 / $108.68	Professional		$13.21	$40.17	$108.68
United Facility/Professional Facility Modifier Low / Median / High Price $7.82 / $38.15 / $40.17	Facility		$7.82	$38.15	$40.17
United Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $16.87 / $40.17	Professional		$6.08	$16.87	$40.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $20.81	Professional		$18.07	$18.07	$20.81