Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.63 / $24.63 / $57.96	Facility		$24.63	$24.63	$57.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $24.63 / $24.63	Professional		$24.05	$24.63	$24.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $22.79 / $34.19 / $70.65	Facility		$22.79	$34.19	$70.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.63 / $38.44 / $55.24	Facility		$24.63	$38.44	$55.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $24.63 / $24.63	Professional		$24.63	$24.63	$24.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $79,999.20 / $79,999.20	Facility		$29.92	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.43 / $34.38 / $57.99	Facility		$18.43	$34.38	$57.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.79 / $26.96 / $50.74	Facility		$22.79	$26.96	$50.74
United Facility/Professional Facility Modifier Low / Median / High Price $25.05 / $25.05 / $25.05	Facility		$25.05	$25.05	$25.05