Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.21 / $34.22 / $57.76	Facility		$23.21	$34.22	$57.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $28.61 / $68.64	Professional		$22.50	$28.61	$68.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $21.17 / $41.62	Facility		$16.23	$21.17	$41.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $21.17 / $24.71	Professional		$21.17	$21.17	$24.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $22.95 / $78.28	Facility		$22.95	$22.95	$78.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $22.95 / $22.95	Professional		$22.95	$22.95	$22.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $22.35 / $50.00	Professional		$2.67	$22.35	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $24.59 / $46.39	Facility		$21.08	$24.59	$46.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.53 / $23.53 / $41.62	Facility		$23.53	$23.53	$41.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.35 / $24.71	Professional		$19.05	$22.35	$24.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $19.47 / $36.99	Facility		$16.23	$19.47	$36.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $21.17 / $21.17	Professional		$21.17	$21.17	$21.17
United Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $23.58 / $25.14	Professional		$20.87	$23.58	$25.14