Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.59 / $37.75 / $120.67	Facility		$20.59	$37.75	$120.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $20.59 / $37.75	Professional		$13.65	$20.59	$37.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $42.49 / $104.03	Facility		$23.00	$42.49	$104.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $19.71 / $35.68	Professional		$8.76	$19.71	$35.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $32.18 / $56.96	Facility		$12.22	$32.18	$56.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $25.19 / $35.06	Professional		$12.22	$25.19	$35.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $21.13 / $23.24	Professional		$15.59	$21.13	$23.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.90 / $23.00 / $48.34	Facility		$21.90	$23.00	$48.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.90 / $32.85 / $60.22	Facility		$21.90	$32.85	$60.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $19.71 / $19.71	Professional		$19.71	$19.71	$19.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $35.94 / $60.23	Facility		$25.19	$35.94	$60.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $21.90 / $59.28	Professional		$16.43	$21.90	$59.28
United Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.19 / $21.90	Professional		$9.19	$9.19	$21.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $11.34	Professional		$9.86	$9.86	$11.34