Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $27.64 / $65.04	Facility		$27.64	$27.64	$65.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.99 / $27.64 / $27.64	Professional		$26.99	$27.64	$27.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26.63 / $42.60 / $80.34	Facility		$26.63	$42.60	$80.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $27.64 / $32.52	Professional		$27.64	$27.64	$32.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $27.64 / $92.72	Facility		$27.64	$27.64	$92.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Professional		$27.64	$27.64	$27.64
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 $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $52.60 / $80.34	Facility		$27.64	$52.60	$80.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $29.27 / $32.52	Professional		$25.04	$29.27	$32.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.63 / $31.95 / $59.98	Facility		$26.63	$31.95	$59.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $27.64 / $27.64	Professional		$27.64	$27.64	$27.64
United Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $27.10 / $27.10	Professional		$27.10	$27.10	$27.10