Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $20.48	Professional		$18.62	$18.62	$20.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $19.71 / $40.65	Facility		$15.40	$19.71	$40.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $28.05	Professional		$18.62	$18.62	$28.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $17.52 / $70.08	Facility		$17.52	$17.52	$70.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $17.52 / $17.52	Professional		$17.52	$17.52	$17.52
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 $20.35 / $24.44 / $24.79	Facility		$20.35	$24.44	$24.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $18.48 / $36.96	Facility		$15.40	$18.48	$36.96
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.04 / $22.34	Professional		$18.62	$21.04	$22.34