Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.42 / $41.92 / $69.52	Professional		$34.42	$41.92	$69.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $54.36 / $218.97 / $218.97	Facility		$54.36	$218.97	$218.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $66.25 / $103.23	Professional		$31.99	$66.25	$103.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $37.79 / $47.63	Professional		$37.79	$37.79	$47.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $60.65 / $102.48	Professional		$9.08	$60.65	$102.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $78.39 / $84.42	Facility		$56.69	$78.39	$84.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.36 / $54.36 / $57.58	Facility		$54.36	$54.36	$57.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $96.05 / $105.39	Professional		$57.00	$96.05	$105.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $98.39 / $98.39 / $98.39	Professional		$98.39	$98.39	$98.39
United Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $67.84 / $112.14	Professional		$50.60	$67.84	$112.14