Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $30.55 / $41.60	Facility		$28.97	$30.55	$41.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $30.58 / $54.64	Professional		$28.96	$30.58	$54.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $58.12 / $96.87	Facility		$40.36	$58.12	$96.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $34.08 / $48.08	Professional		$32.38	$34.08	$48.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.94 / $31.94 / $90.12	Facility		$31.94	$31.94	$90.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $31.94 / $31.94	Professional		$31.94	$31.94	$31.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $80.92	Professional		$32.36	$32.36	$80.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $32.36 / $32.36	Facility		$25.00	$32.36	$32.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.60 / $61.34 / $93.72	Facility		$42.60	$61.34	$93.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $32.38 / $35.78	Professional		$27.60	$32.38	$35.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $48.44 / $64.58	Facility		$40.36	$48.44	$64.58
United Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $34.08 / $38.86	Professional		$32.38	$34.08	$38.86