Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $47.34 / $111.38	Facility		$47.34	$47.34	$111.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $47.34 / $49.83	Professional		$47.34	$47.34	$49.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.50 / $108.72 / $211.40	Facility		$75.50	$108.72	$211.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $60.40 / $78.14	Professional		$12.45	$60.40	$78.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $47.34 / $102.68	Facility		$30.20	$47.34	$102.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $47.34 / $47.34	Professional		$47.34	$47.34	$47.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $40.06 / $84.60	Professional		$33.84	$40.06	$84.60
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 $51.34 / $108.72 / $166.10	Facility		$51.34	$108.72	$166.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.51 / $54.36 / $60.40	Professional		$46.51	$54.36	$60.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $78.14 / $78.14 / $78.14	Facility		$78.14	$78.14	$78.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $78.14 / $78.14	Professional		$78.14	$78.14	$78.14
United Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $46.41 / $55.69	Professional		$46.41	$46.41	$55.69