Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $134.72 / $134.72	Facility		$75.84	$134.72	$134.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $75.84 / $75.84	Professional		$75.84	$75.84	$75.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $79.41 / $117.53 / $222.36	Facility		$79.41	$117.53	$222.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.35 / $66.70 / $151.91	Professional		$60.35	$66.70	$151.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.29 / $83.29 / $206.88	Facility		$83.29	$83.29	$206.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $83.29 / $83.29	Professional		$83.29	$83.29	$83.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.60 / $49.60 / $49.60	Facility		$49.60	$49.60	$49.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.41 / $114.35 / $174.71	Facility		$79.41	$114.35	$174.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $60.35 / $66.70	Professional		$51.46	$60.35	$66.70
United Facility/Professional Professional Modifier Low / Median / High Price $74.37 / $84.04 / $94.35	Professional		$74.37	$84.04	$94.35