Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.49 / $29.49 / $29.49	Facility		$29.49	$29.49	$29.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $29.49 / $33.69	Professional		$15.95	$29.49	$33.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $61.98 / $165.67	Facility		$35.40	$61.98	$165.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $30.09 / $34.57	Professional		$15.19	$30.09	$34.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $29.14 / $29.14	Professional		$29.14	$29.14	$29.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $29.84	Professional		$29.84	$29.84	$29.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $34.57 / $79,999.20	Facility		$34.57	$34.57	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.99 / $53.90 / $87.59	Facility		$30.99	$53.90	$87.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $34.57 / $62.33	Professional		$34.57	$34.57	$62.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.10 / $52.92 / $100.55	Facility		$44.10	$52.92	$100.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.09 / $30.09 / $30.09	Professional		$30.09	$30.09	$30.09
United Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $38.33 / $94.45	Professional		$31.80	$38.33	$94.45