Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.55 / $69.55 / $69.55	Facility		$69.55	$69.55	$69.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $69.55 / $79.45	Professional		$37.64	$69.55	$79.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $142.68 / $390.73	Facility		$83.49	$142.68	$390.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $35.85 / $70.97 / $81.53	Professional		$35.85	$70.97	$81.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.40 / $70.40 / $70.40	Professional		$70.40	$70.40	$70.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.53 / $81.53 / $79,999.20	Facility		$81.53	$81.53	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.09 / $127.14 / $206.60	Facility		$73.09	$127.14	$206.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $81.53 / $147.00	Professional		$81.53	$81.53	$147.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $103.61 / $124.34 / $236.24	Facility		$103.61	$124.34	$236.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.97 / $70.97 / $70.97	Professional		$70.97	$70.97	$70.97
United Facility/Professional Professional Modifier Low / Median / High Price $76.93 / $90.39 / $205.45	Professional		$76.93	$90.39	$205.45