Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.08 / $35.10 / $99.32	Facility		$13.08	$35.10	$99.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $13.08 / $30.88	Professional		$8.52	$13.08	$30.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $27.82 / $83.01	Facility		$14.61	$27.82	$83.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $10.70 / $26.43	Professional		$5.92	$10.70	$26.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $21.74 / $38.47	Facility		$8.30	$21.74	$38.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $16.11 / $23.86	Professional		$8.26	$16.11	$23.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $13.42 / $14.76	Professional		$9.90	$13.42	$14.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $15.30 / $30.71	Facility		$13.91	$15.30	$30.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.52 / $13.91 / $27.74	Facility		$12.52	$13.91	$27.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $12.52 / $12.52	Professional		$12.52	$12.52	$12.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $22.83 / $38.25	Facility		$16.00	$22.83	$38.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $13.91 / $37.72	Professional		$10.43	$13.91	$37.72
United Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $5.84 / $13.91	Professional		$5.84	$5.84	$13.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $7.21 / $7.21	Professional		$7.21	$7.21	$7.21