Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $52.10 / $91.35	Facility		$24.62	$52.10	$91.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $33.89 / $55.70	Professional		$30.57	$33.89	$55.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $42.86 / $61.72 / $102.87	Facility		$42.86	$61.72	$102.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $35.97 / $50.73	Professional		$34.17	$35.97	$50.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.71 / $33.71 / $95.08	Facility		$33.71	$33.71	$95.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $33.71 / $33.71	Professional		$33.71	$33.71	$33.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $6.67 / $50.00	Professional		$2.67	$6.67	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.94 / $34.17 / $54.67	Facility		$29.94	$34.17	$54.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.96 / $64.75 / $98.92	Facility		$44.96	$64.75	$98.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $34.17 / $37.77	Professional		$29.14	$34.17	$37.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.86 / $51.44 / $68.58	Facility		$42.86	$51.44	$68.58
United Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $35.97 / $41.00	Professional		$34.17	$35.97	$41.00