Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.62 / $20.62 / $48.52	Facility		$20.62	$20.62	$48.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $20.62 / $20.62	Professional		$20.14	$20.62	$20.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $21.69 / $41.93	Facility		$14.46	$21.69	$41.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $24.26 / $50.44	Professional		$20.62	$24.26	$50.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.51 / $33.51 / $33.51	Facility		$33.51	$33.51	$33.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $11.40 / $50.00	Professional		$11.40	$11.40	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $79,999.20 / $79,999.20	Facility		$27.11	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $20.14 / $27.67	Facility		$10.27	$20.14	$27.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $21.83 / $24.26	Professional		$18.68	$21.83	$24.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $19.16 / $41.93	Facility		$14.46	$19.16	$41.93
United Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $19.64	Professional		$19.64	$19.64	$19.64