Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.84 / $30.08 / $247.63	Facility		$17.84	$30.08	$247.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.52 / $69.84	Professional		$16.22	$17.52	$69.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $121.61 / $141.51	Facility		$16.22	$121.61	$141.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $16.22 / $53.36	Professional		$14.46	$16.22	$53.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $15.30 / $49.11	Facility		$15.30	$15.30	$49.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $19.89	Professional		$16.22	$16.22	$19.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.32 / $15.90 / $17.84	Professional		$13.32	$15.90	$17.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $16.22 / $30.66	Facility		$14.46	$16.22	$30.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.16 / $53.36 / $53.36	Facility		$24.16	$53.36	$53.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $24.16 / $53.36	Professional		$17.37	$24.16	$53.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $19.28	Facility		$16.22	$16.22	$19.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $18.64	Professional		$16.22	$16.22	$18.64
United Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $16.22 / $16.22	Professional		$14.80	$16.22	$16.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22