Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.11 / $32.11 / $32.11	Facility		$32.11	$32.11	$32.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $32.11 / $33.88	Professional		$19.51	$32.11	$33.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $40.78 / $58.72 / $158.61	Facility		$40.78	$58.72	$158.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $31.15 / $35.58	Professional		$25.00	$31.15	$35.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $18.70	Professional		$18.70	$18.70	$18.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $31.76 / $38.81	Professional		$31.76	$31.76	$38.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $36.65 / $41.34	Facility		$35.15	$36.65	$41.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.83 / $56.93 / $92.51	Facility		$33.83	$56.93	$92.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $35.58 / $68.19	Professional		$35.58	$35.58	$68.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.78 / $48.93 / $92.97	Facility		$40.78	$48.93	$92.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $31.15 / $35.14	Professional		$31.15	$31.15	$35.14
United Facility/Professional Facility Modifier Low / Median / High Price $29.32 / $36.65 / $36.65	Facility		$29.32	$36.65	$36.65
United Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $49.44 / $89.27	Professional		$31.10	$49.44	$89.27