Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.20 / $2,407.26 / $8,794.85	Facility		$34.20	$2,407.26	$8,794.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $34.20 / $7,200.00	Professional		$27.45	$34.20	$7,200.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $21.99 / $51.32	Facility		$15.99	$21.99	$51.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $20.99 / $113.55	Professional		$13.30	$20.99	$113.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $17.64 / $31.82	Facility		$17.64	$17.64	$31.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $22.94	Professional		$19.98	$19.98	$22.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $19.68 / $19.98	Professional		$15.91	$19.68	$19.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $22.29 / $59.97	Facility		$19.30	$22.29	$59.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $25.73 / $69.45	Facility		$12.72	$25.73	$69.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $13.30 / $113.55	Professional		$11.34	$13.30	$113.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.66 / $19.98 / $51.32	Facility		$10.66	$19.98	$51.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $20.99	Professional		$20.99	$20.99	$20.99
United Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $40.09 / $41.31	Professional		$40.09	$40.09	$41.31