Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.29 / $50.48 / $82.75	Facility		$20.29	$50.48	$82.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $38.53 / $100.80	Professional		$31.01	$38.53	$100.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $31.55 / $34.10 / $127.88	Facility		$31.55	$34.10	$127.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $31.55 / $35.81	Professional		$31.55	$31.55	$35.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.14 / $33.14 / $107.76	Facility		$33.14	$33.14	$107.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $33.14 / $33.14	Professional		$33.14	$33.14	$33.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $27.06 / $67.65	Professional		$2.67	$27.06	$67.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $42.28 / $42.88	Facility		$25.00	$42.28	$42.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.10 / $34.10 / $34.10	Facility		$34.10	$34.10	$34.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.62 / $32.40 / $35.81	Professional		$27.62	$32.40	$35.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.55 / $31.55 / $31.55	Facility		$31.55	$31.55	$31.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $31.55 / $31.55	Professional		$31.55	$31.55	$31.55
United Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $33.89 / $35.99	Professional		$29.99	$33.89	$35.99