Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.41 / $40.72 / $40.72	Facility		$25.41	$40.72	$40.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $51.23 / $131.19	Professional		$40.42	$51.23	$131.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $42.12 / $45.46 / $169.24	Facility		$42.12	$45.46	$169.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $42.12 / $47.73	Professional		$42.12	$42.12	$47.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.83 / $43.83 / $143.12	Facility		$43.83	$43.83	$143.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $43.83 / $43.83	Professional		$43.83	$43.83	$43.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $31.44 / $78.59	Professional		$2.67	$31.44	$78.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.30 / $56.81 / $57.62	Facility		$47.30	$56.81	$57.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.46 / $45.46 / $45.46	Facility		$45.46	$45.46	$45.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $43.19 / $47.73	Professional		$36.82	$43.19	$47.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.12 / $42.12 / $42.12	Facility		$42.12	$42.12	$42.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $42.12 / $42.12	Professional		$42.12	$42.12	$42.12
United Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $42.66 / $47.47	Professional		$39.56	$42.66	$47.47