Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $56.22 / $194.45	Facility		$25.81	$56.22	$194.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $33.17 / $52.23	Professional		$12.22	$33.17	$52.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $57.91 / $167.63	Facility		$35.29	$57.91	$167.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $26.47 / $57.20	Professional		$10.70	$26.47	$57.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $51.84 / $91.13	Facility		$8.30	$51.84	$91.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $36.19 / $50.59	Professional		$15.34	$36.19	$50.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.04 / $37.44	Professional		$25.12	$34.04	$37.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $35.29 / $77.90	Facility		$35.29	$35.29	$77.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.76 / $52.94 / $97.05	Facility		$31.76	$52.94	$97.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $31.76 / $31.76	Professional		$31.76	$31.76	$31.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $57.91 / $97.05	Facility		$37.04	$57.91	$97.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $35.29 / $95.21	Professional		$15.29	$35.29	$95.21
United Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $14.82 / $42.35	Professional		$7.04	$14.82	$42.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $15.88 / $18.28	Professional		$15.88	$15.88	$18.28