Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.71 / $81.67 / $243.99	Facility		$42.71	$81.67	$243.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $49.50 / $75.00	Professional		$40.00	$49.50	$75.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $38.79 / $90.00	Facility		$34.90	$38.79	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $34.90 / $52.10	Professional		$34.90	$34.90	$52.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.76 / $48.76 / $88.16	Facility		$48.76	$48.76	$88.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $48.76 / $48.76	Professional		$48.76	$48.76	$48.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $36.85 / $92.12	Professional		$36.85	$36.85	$92.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.17 / $38.24 / $76.48	Facility		$33.17	$38.24	$76.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $38.79 / $38.79	Facility		$38.79	$38.79	$38.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.42 / $36.85 / $40.72	Professional		$31.42	$36.85	$40.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $34.90 / $34.90	Facility		$34.90	$34.90	$34.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $34.90 / $34.90	Professional		$34.90	$34.90	$34.90
United Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $49.20 / $52.25	Professional		$43.54	$49.20	$52.25