Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Facility		$29.29	$29.29	$29.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $29.29 / $29.29	Professional		$26.62	$29.29	$29.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26.62 / $33.86 / $126.78	Facility		$26.62	$33.86	$126.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $31.17 / $38.40	Professional		$26.62	$31.17	$38.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $26.62	Facility		$25.12	$25.12	$26.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $32.65	Professional		$26.62	$26.62	$32.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.82 / $26.62 / $55.26	Facility		$21.82	$26.62	$55.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.87 / $31.87 / $33.86	Facility		$31.87	$31.87	$33.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $31.17 / $38.40	Professional		$28.18	$31.17	$38.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Facility		$26.62	$26.62	$26.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Professional		$26.62	$26.62	$26.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Professional		$26.62	$26.62	$26.62