Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.54 / $20.54 / $20.54	Facility		$20.54	$20.54	$20.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $20.54 / $23.47	Professional		$11.12	$20.54	$23.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $43.18 / $115.41	Facility		$24.66	$43.18	$115.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $20.96 / $24.08	Professional		$10.59	$20.96	$24.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $20.35	Professional		$20.35	$20.35	$20.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $20.77 / $20.77	Professional		$20.77	$20.77	$20.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $24.08 / $79,999.20	Facility		$24.08	$24.08	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $37.54 / $61.02	Facility		$21.59	$37.54	$61.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $24.08 / $43.42	Professional		$24.08	$24.08	$43.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $36.95 / $70.20	Facility		$30.79	$36.95	$70.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.96 / $20.96 / $20.96	Professional		$20.96	$20.96	$20.96
United Facility/Professional Professional Modifier Low / Median / High Price $22.15 / $26.15 / $60.68	Professional		$22.15	$26.15	$60.68