Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.07 / $54.19 / $54.19	Facility		$22.07	$54.19	$54.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $22.07 / $30.30	Professional		$21.22	$22.07	$30.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $21.31 / $39.96	Facility		$16.64	$21.31	$39.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $20.71 / $24.16	Professional		$20.71	$20.71	$24.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.82 / $21.82 / $72.20	Facility		$21.82	$21.82	$72.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $21.82 / $21.82	Professional		$21.82	$21.82	$21.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $21.86 / $54.65	Professional		$2.67	$21.86	$54.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $24.74 / $45.47	Facility		$20.62	$24.74	$45.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.01 / $23.01 / $38.40	Facility		$23.01	$23.01	$38.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $21.86 / $24.16	Professional		$18.64	$21.86	$24.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $19.98 / $35.58	Facility		$16.64	$19.98	$35.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $20.71 / $20.71	Professional		$20.71	$20.71	$20.71
United Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $22.28 / $23.98	Professional		$19.72	$22.28	$23.98