Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.42 / $79.25 / $138.35	Facility		$26.42	$79.25	$138.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.27 / $53.60 / $147.19	Professional		$43.27	$53.60	$147.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $48.18 / $53.53 / $191.33	Facility		$48.18	$53.53	$191.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $48.18 / $56.21	Professional		$48.18	$48.18	$56.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.10 / $50.10 / $143.24	Facility		$50.10	$50.10	$143.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $50.10 / $50.10	Professional		$50.10	$50.10	$50.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $41.89 / $104.72	Professional		$2.67	$41.89	$104.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.78 / $48.23 / $48.91	Facility		$32.78	$48.23	$48.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.53 / $53.53 / $53.53	Facility		$53.53	$53.53	$53.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.36 / $50.85 / $56.21	Professional		$43.36	$50.85	$56.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.18 / $48.18 / $48.18	Facility		$48.18	$48.18	$48.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $48.18 / $48.18	Professional		$48.18	$48.18	$48.18
United Facility/Professional Professional Modifier Low / Median / High Price $44.73 / $50.54 / $53.68	Professional		$44.73	$50.54	$53.68