Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $37.46 / $76.25	Facility		$18.68	$37.46	$76.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $20.48 / $35.81	Professional		$18.67	$20.48	$35.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26.21 / $37.75 / $69.20	Facility		$26.21	$37.75	$69.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $21.98 / $33.00	Professional		$20.88	$21.98	$33.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $20.65 / $70.64	Facility		$20.65	$20.65	$70.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Professional		$20.65	$20.65	$20.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $2.67 / $50.00	Professional		$2.67	$2.67	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $20.88 / $33.40	Facility		$20.88	$20.88	$33.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.48 / $39.56 / $60.45	Facility		$27.48	$39.56	$60.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $20.88 / $23.08	Professional		$17.80	$20.88	$23.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.21 / $31.46 / $59.76	Facility		$26.21	$31.46	$59.76
United Facility/Professional Professional Modifier Low / Median / High Price $20.88 / $21.98 / $25.06	Professional		$20.88	$21.98	$25.06