Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $45.14 / $105.98	Facility		$19.59	$45.14	$105.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $18.41 / $40.31	Professional		$18.41	$18.41	$40.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20.57 / $38.00 / $93.18	Facility		$20.57	$38.00	$93.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $19.59 / $32.64	Professional		$9.67	$19.59	$32.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $40.10 / $86.22	Facility		$13.57	$40.10	$86.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $23.26 / $37.22	Professional		$13.60	$23.26	$37.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $19.59 / $19.59	Professional		$19.59	$19.59	$19.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $19.59 / $43.24	Facility		$19.59	$19.59	$43.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $29.38 / $53.87	Facility		$19.59	$29.38	$53.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $23.51 / $27.82	Professional		$17.63	$23.51	$27.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.53 / $32.32 / $53.87	Facility		$22.53	$32.32	$53.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $19.59 / $52.99	Professional		$14.69	$19.59	$52.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $8.23 / $21.94	Professional		$8.23	$8.23	$21.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $8.82 / $10.15	Professional		$8.82	$8.82	$10.15