Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.08 / $35.08 / $394.80	Facility		$35.08	$35.08	$394.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $35.08 / $37.50	Professional		$20.75	$35.08	$37.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $45.35 / $65.30 / $184.63	Facility		$45.35	$65.30	$184.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $37.78 / $40.26	Professional		$35.25	$37.78	$40.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $25.50	Professional		$25.50	$25.50	$25.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.99 / $83.99 / $102.66	Professional		$83.99	$83.99	$102.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $42.44 / $45.34	Facility		$41.47	$42.44	$45.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $64.42 / $104.68	Facility		$36.95	$64.42	$104.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $40.26 / $74.50	Professional		$40.26	$40.26	$74.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $45.35 / $54.42 / $103.40	Facility		$45.35	$54.42	$103.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $35.25 / $37.78	Professional		$35.25	$35.25	$37.78
United Facility/Professional Facility Modifier Low / Median / High Price $45.74 / $54.89 / $54.89	Facility		$45.74	$54.89	$54.89
United Facility/Professional Professional Modifier Low / Median / High Price $34.75 / $49.44 / $95.90	Professional		$34.75	$49.44	$95.90