Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.96 / $29.96 / $29.96	Facility		$29.96	$29.96	$29.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $29.96 / $34.22	Professional		$16.21	$29.96	$34.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $62.98 / $168.29	Facility		$35.96	$62.98	$168.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $30.57 / $35.11	Professional		$15.43	$30.57	$35.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $16.14 / $16.14	Professional		$16.14	$16.14	$16.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $30.30 / $30.30	Professional		$30.30	$30.30	$30.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $35.11 / $79,999.20	Facility		$32.36	$35.11	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.49 / $54.77 / $89.00	Facility		$31.49	$54.77	$89.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $35.11 / $63.33	Professional		$35.11	$35.11	$63.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.53 / $53.43 / $101.52	Facility		$44.53	$53.43	$101.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $30.57 / $30.57	Professional		$30.57	$30.57	$30.57
United Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $38.13 / $82.02	Professional		$33.14	$38.13	$82.02