Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $40.88 / $69.52	Facility		$20.00	$40.88	$69.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $26.90 / $59.00	Professional		$20.00	$26.90	$59.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $27.88 / $40.14 / $73.59	Facility		$27.88	$40.14	$73.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $23.53 / $34.65	Professional		$22.35	$23.53	$34.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $22.10 / $75.36	Facility		$22.10	$22.10	$75.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Professional		$22.10	$22.10	$22.10
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 $22.35 / $22.35 / $35.76	Facility		$22.35	$22.35	$35.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.41 / $42.35 / $64.70	Facility		$29.41	$42.35	$64.70
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 $27.88 / $33.45 / $63.56	Facility		$27.88	$33.45	$63.56
United Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $25.26 / $26.82	Professional		$22.35	$25.26	$26.82