Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $116.25 / $178.50	Facility		$35.25	$116.25	$178.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $7.66 / $86.75	Professional		$7.66	$7.66	$86.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $43.75 / $118.75	Facility		$25.00	$43.75	$118.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $18.75 / $46.00	Professional		$10.00	$18.75	$46.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.93 / $36.72 / $64.55	Facility		$6.93	$36.72	$64.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $13.15 / $32.34	Professional		$12.15	$13.15	$32.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $19.29 / $25.00	Professional		$17.80	$19.29	$25.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $37.50	Facility		$25.00	$25.00	$37.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $37.50 / $68.75	Facility		$25.00	$37.50	$68.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $22.50 / $22.50	Professional		$22.50	$22.50	$22.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.25 / $41.03 / $68.75	Facility		$26.25	$41.03	$68.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $25.00 / $67.36	Professional		$12.62	$25.00	$67.36
United Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $15.00 / $25.00	Professional		$8.30	$15.00	$25.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $11.25 / $12.95	Professional		$11.25	$11.25	$12.95