Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $19.20 / $19.20	Facility		$19.20	$19.20	$19.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $19.20 / $21.12	Professional		$19.19	$19.20	$21.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.56 / $20.23 / $38.40	Facility		$14.56	$20.23	$38.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $20.23 / $28.05	Professional		$19.20	$20.23	$28.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $11.89 / $47.56	Facility		$11.89	$11.89	$47.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $14.58	Professional		$11.89	$11.89	$14.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$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 $36.10 / $36.10 / $38.40	Facility		$36.10	$36.10	$38.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $17.79 / $33.20	Facility		$14.83	$17.79	$33.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $20.23 / $20.23	Professional		$20.23	$20.23	$20.23
United Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $29.09 / $30.89	Professional		$25.74	$29.09	$30.89