Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $34.67 / $119.90	Facility		$20.45	$34.67	$119.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $20.45 / $32.64	Professional		$11.10	$20.45	$32.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $42.21 / $103.36	Facility		$21.76	$42.21	$103.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $16.71 / $34.00	Professional		$8.69	$16.71	$34.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $31.96 / $56.17	Facility		$8.28	$31.96	$56.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $23.86 / $30.98	Professional		$11.42	$23.86	$30.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.79 / $21.76	Professional		$15.49	$16.79	$21.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $22.85 / $48.04	Facility		$21.76	$22.85	$48.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $21.76 / $21.76	Facility		$19.57	$21.76	$21.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $22.85 / $30.90	Professional		$13.88	$22.85	$30.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $35.71 / $59.84	Facility		$22.85	$35.71	$59.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $21.76 / $58.38	Professional		$15.29	$21.76	$58.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $9.14 / $24.37	Professional		$7.04	$9.14	$24.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $11.27 / $11.27	Professional		$11.27	$11.27	$11.27