Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.35 / $32.35 / $32.35	Facility		$32.35	$32.35	$32.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $32.35 / $53.25	Professional		$31.42	$32.35	$53.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $36.54 / $133.13	Facility		$33.86	$36.54	$133.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $33.86 / $38.36	Professional		$33.86	$33.86	$38.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $35.25 / $117.52	Facility		$35.25	$35.25	$117.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $35.25 / $35.25	Professional		$35.25	$35.25	$35.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $28.96 / $72.40	Professional		$2.67	$28.96	$72.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $48.23 / $48.91	Facility		$40.15	$48.23	$48.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.54 / $36.54 / $36.54	Facility		$36.54	$36.54	$36.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $34.71 / $38.36	Professional		$29.60	$34.71	$38.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $33.86 / $33.86	Facility		$33.86	$33.86	$33.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $33.86 / $33.86	Professional		$33.86	$33.86	$33.86
United Facility/Professional Professional Modifier Low / Median / High Price $31.47 / $35.56 / $37.76	Professional		$31.47	$35.56	$37.76