Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $30.75 / $30.75	Facility		$30.75	$30.75	$30.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $30.75 / $31.99	Professional		$30.75	$30.75	$31.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $45.24 / $98.87	Facility		$36.69	$45.24	$98.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $59.40 / $59.40	Professional		$59.40	$59.40	$59.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $59.46 / $60.30	Facility		$49.50	$59.46	$60.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $36.69 / $36.69	Facility		$36.69	$36.69	$36.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.45 / $44.94 / $85.39	Facility		$37.45	$44.94	$85.39
United Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $24.28 / $29.14	Professional		$24.28	$24.28	$29.14