Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.71 / $53.64 / $88.80	Facility		$33.71	$53.64	$88.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $37.74 / $50.38	Professional		$36.85	$37.74	$50.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $49.98 / $282.38	Facility		$11.22	$49.98	$282.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $58.80	Professional		$11.22	$11.22	$58.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.74 / $37.74 / $207.56	Facility		$37.74	$37.74	$207.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $37.74 / $37.74	Professional		$37.74	$37.74	$37.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $9.59 / $23.97	Professional		$7.95	$9.59	$23.97
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 $48.80 / $48.80 / $49.98	Facility		$48.80	$48.80	$49.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $52.92 / $58.80	Professional		$45.28	$52.92	$58.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Facility		$11.22	$11.22	$11.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $44.40	Professional		$37.00	$37.00	$44.40