Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $17.87 / $17.87	Facility		$17.87	$17.87	$17.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $17.87 / $20.68	Professional		$11.27	$17.87	$20.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.90 / $33.32 / $91.07	Facility		$21.90	$33.32	$91.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $18.59 / $20.77	Professional		$16.67	$18.59	$20.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $17.17 / $17.17	Professional		$17.17	$17.17	$17.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.24 / $19.24 / $23.51	Professional		$19.24	$19.24	$23.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $19.61 / $24.43	Facility		$19.14	$19.61	$24.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $30.46 / $49.50	Facility		$18.80	$30.46	$49.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $19.04 / $37.93	Professional		$19.04	$19.04	$37.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.89 / $27.47 / $52.18	Facility		$22.89	$27.47	$52.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $16.67 / $20.77	Professional		$16.67	$16.67	$20.77
United Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $29.06 / $50.96	Professional		$10.77	$29.06	$50.96