Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $43.23 / $111.30	Facility		$18.98	$43.23	$111.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $18.60 / $29.90	Professional		$10.71	$18.60	$29.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.21 / $46.46 / $236.00	Facility		$21.21	$46.46	$236.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $18.18 / $32.85	Professional		$9.98	$18.18	$32.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.97 / $41.36 / $87.85	Facility		$13.97	$41.36	$87.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $25.97 / $40.42	Professional		$14.12	$25.97	$40.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $19.48 / $21.43	Professional		$14.38	$19.48	$21.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $21.21 / $44.59	Facility		$20.20	$21.21	$44.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $30.30 / $55.55	Facility		$20.20	$30.30	$55.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $18.18 / $18.18	Professional		$18.18	$18.18	$18.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.23 / $33.33 / $55.55	Facility		$23.23	$33.33	$55.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $20.20 / $54.79	Professional		$15.15	$20.20	$54.79
United Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $8.48 / $22.62	Professional		$8.48	$8.48	$22.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $9.09 / $10.46	Professional		$9.09	$9.09	$10.46