Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $49.25 / $109.25	Facility		$16.27	$49.25	$109.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $14.22 / $30.88	Professional		$10.74	$14.22	$30.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $33.61 / $79.84	Facility		$17.64	$33.61	$79.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $12.61 / $27.19	Professional		$6.72	$12.61	$27.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $24.70 / $43.42	Facility		$8.30	$24.70	$43.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $19.41 / $24.26	Professional		$8.83	$19.41	$24.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $16.22 / $17.84	Professional		$11.96	$16.22	$17.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $17.64 / $37.11	Facility		$16.80	$17.64	$37.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.13 / $16.80 / $27.74	Facility		$15.13	$16.80	$27.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $15.13 / $15.13	Professional		$15.13	$15.13	$15.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $27.59 / $46.23	Facility		$19.32	$27.59	$46.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $16.80 / $44.91	Professional		$12.61	$16.80	$44.91
United Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $7.06 / $16.80	Professional		$6.93	$7.06	$16.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71