Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.96 / $57.96 / $57.96	Facility		$57.96	$57.96	$57.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.36 / $57.96 / $66.22	Professional		$31.36	$57.96	$66.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $118.90 / $325.58	Facility		$69.56	$118.90	$325.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $29.86 / $59.13 / $67.94	Professional		$29.86	$59.13	$67.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.91 / $56.91 / $56.91	Professional		$56.91	$56.91	$56.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $58.65 / $58.65	Professional		$58.65	$58.65	$58.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.01 / $67.94 / $79,999.20	Facility		$67.01	$67.94	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.92 / $105.95 / $172.17	Facility		$60.92	$105.95	$172.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $67.94 / $122.51	Professional		$67.94	$67.94	$122.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $86.14 / $103.37 / $196.39	Facility		$86.14	$103.37	$196.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.13 / $59.13 / $59.13	Professional		$59.13	$59.13	$59.13
United Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $76.93 / $185.64	Professional		$64.11	$76.93	$185.64