Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.86 / $36.27 / $160.61	Facility		$21.86	$36.27	$160.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $18.55 / $97.19	Professional		$14.04	$18.55	$97.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.28 / $31.00 / $101.29	Facility		$16.28	$31.00	$101.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $15.50 / $28.00	Professional		$7.65	$15.50	$28.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $31.75 / $93.51	Facility		$10.74	$31.75	$93.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $18.39 / $29.28	Professional		$10.85	$18.39	$29.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $15.50 / $15.50	Professional		$15.50	$15.50	$15.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $16.28 / $34.22	Facility		$15.50	$16.28	$34.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $23.25 / $42.63	Facility		$15.50	$23.25	$42.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $18.60 / $22.01	Professional		$13.95	$18.60	$22.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $25.58 / $42.63	Facility		$17.82	$25.58	$42.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $15.50 / $42.22	Professional		$11.63	$15.50	$42.22
United Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $9.88 / $17.36	Professional		$9.30	$9.88	$17.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $6.98 / $8.02	Professional		$6.98	$6.98	$8.02