Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $13.58 / $13.58	Facility		$13.58	$13.58	$13.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $13.58 / $13.58	Professional		$7.96	$13.58	$13.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.89 / $30.23 / $116.57	Facility		$19.89	$30.23	$116.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $13.85 / $142.56	Professional		$13.85	$13.85	$142.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $13.47	Professional		$13.47	$13.47	$13.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $15.91 / $21.18	Facility		$15.91	$15.91	$21.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $28.64 / $43.75	Facility		$15.91	$28.64	$43.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $15.91 / $28.69	Professional		$15.91	$15.91	$28.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $13.85 / $13.85	Professional		$13.85	$13.85	$13.85
United Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $18.78 / $40.10	Professional		$14.64	$18.78	$40.10