Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $12.68 / $12.68	Facility		$12.68	$12.68	$12.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $12.68 / $13.94	Professional		$12.67	$12.68	$13.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $18.57 / $30.96	Facility		$12.90	$18.57	$30.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $19.55 / $29.70	Professional		$12.68	$19.55	$29.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.97 / $11.97 / $47.88	Facility		$11.97	$11.97	$47.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $11.97 / $11.97	Professional		$11.97	$11.97	$11.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $20.48 / $20.77	Facility		$17.05	$20.48	$20.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $15.77 / $28.28	Facility		$13.14	$15.77	$28.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $19.55 / $19.55	Professional		$19.55	$19.55	$19.55
United Facility/Professional Facility Modifier Low / Median / High Price $116.61 / $116.61 / $116.61	Facility		$116.61	$116.61	$116.61
United Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $58.15 / $61.75	Professional		$51.46	$58.15	$61.75