Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.16 / $67.16 / $67.16	Facility		$67.16	$67.16	$67.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $67.16 / $76.56	Professional		$67.15	$67.16	$76.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $79.01 / $85.00 / $296.29	Facility		$79.01	$85.00	$296.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $79.01 / $111.22	Professional		$75.06	$79.01	$111.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.02 / $74.02 / $233.28	Facility		$74.02	$74.02	$233.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $74.02 / $74.02	Professional		$74.02	$74.02	$74.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $2.67 / $6.67	Professional		$2.67	$2.67	$6.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.60 / $34.35 / $40.49	Facility		$28.60	$34.35	$40.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.01 / $79.01 / $79.01	Facility		$79.01	$79.01	$79.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $75.06 / $82.96	Professional		$64.00	$75.06	$82.96
United Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $74.68 / $79.31	Professional		$66.09	$74.68	$79.31