Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.06 / $40.65 / $130.16	Facility		$24.06	$40.65	$130.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $22.62 / $51.78	Professional		$22.62	$22.62	$51.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $44.66 / $114.29	Facility		$25.26	$44.66	$114.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $20.34 / $39.08	Professional		$9.61	$20.34	$39.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $49.27 / $62.56	Facility		$12.22	$49.27	$62.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $27.67 / $35.06	Professional		$12.64	$27.67	$35.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $23.21 / $25.53	Professional		$17.12	$23.21	$25.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.06 / $25.26 / $53.11	Facility		$24.06	$25.26	$53.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.06 / $36.09 / $66.16	Facility		$24.06	$36.09	$66.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $21.65 / $21.65	Professional		$21.65	$21.65	$21.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.67 / $39.47 / $66.17	Facility		$27.67	$39.47	$66.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $24.06 / $64.67	Professional		$18.05	$24.06	$64.67
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.11 / $26.95	Professional		$10.11	$10.11	$26.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $10.83 / $12.46	Professional		$10.83	$10.83	$12.46