Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.69 / $24.14 / $37.72	Facility		$19.69	$24.14	$37.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $20.75 / $21.91	Professional		$18.86	$20.75	$21.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.77 / $22.19 / $42.99	Facility		$17.77	$22.19	$42.99
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $19.14 / $22.24	Professional		$18.86	$19.14	$22.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.79 / $17.79 / $18.86	Facility		$17.79	$17.79	$18.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $23.13	Professional		$18.86	$18.86	$23.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $18.86 / $35.65	Facility		$18.10	$18.86	$35.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $28.43 / $49.74	Facility		$15.99	$28.43	$49.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.67 / $20.92	Professional		$17.78	$19.67	$20.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $20.75 / $36.20	Facility		$18.10	$20.75	$36.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $18.86	Professional		$18.86	$18.86	$18.86
United Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $18.86	Professional		$18.86	$18.86	$18.86