Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.43 / $69.52 / $133.10	Facility		$33.43	$69.52	$133.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $18.39 / $53.14	Professional		$9.75	$18.39	$53.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $77.59 / $134.62 / $257.51	Facility		$77.59	$134.62	$257.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $40.19 / $60.44 / $86.17	Professional		$40.19	$60.44	$86.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $26.94	Professional		$26.94	$26.94	$26.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $30.30 / $50.00	Professional		$12.12	$30.30	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.80 / $33.00 / $48.24	Facility		$26.80	$33.00	$48.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.40 / $39.40 / $43.42	Facility		$39.40	$39.40	$43.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $65.08 / $86.17	Professional		$43.42	$65.08	$86.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87.29 / $134.54 / $257.51	Facility		$87.29	$134.54	$257.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.19 / $58.93 / $86.78	Professional		$40.19	$58.93	$86.78
United Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $32.57 / $83.78	Professional		$14.44	$32.57	$83.78