Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $21.08 / $21.08	Professional		$21.08	$21.08	$21.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $86.41	Facility		$80.00	$80.00	$86.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $167.56	Professional		$99.00	$99.00	$167.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $24.84 / $24.84	Professional		$24.84	$24.84	$24.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $10.50 / $111.97	Facility		$10.50	$10.50	$111.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.56 / $167.56 / $167.56	Professional		$167.56	$167.56	$167.56
United Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $10.39 / $11.19	Professional		$10.15	$10.39	$11.19