Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $13.91 / $32.74	Facility		$13.91	$13.91	$32.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $13.91 / $13.91	Professional		$13.59	$13.91	$13.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $27.27 / $56.36	Facility		$11.51	$27.27	$56.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $16.37 / $22.50	Professional		$13.91	$16.37	$22.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $13.91 / $62.88	Facility		$13.91	$13.91	$62.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $13.91 / $13.91	Professional		$13.91	$13.91	$13.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $79,999.20 / $79,999.20	Facility		$16.22	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $18.18 / $41.63	Facility		$13.59	$18.18	$41.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $14.73 / $16.37	Professional		$12.60	$14.73	$16.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $21.82 / $41.79	Facility		$11.51	$21.82	$41.79
United Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $13.64 / $16.37	Professional		$13.64	$13.64	$16.37