Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $42.96 / $64.13	Facility		$23.63	$42.96	$64.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $23.63 / $33.57	Professional		$21.48	$23.63	$33.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $33.96 / $67.05	Facility		$21.48	$33.96	$67.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $26.01 / $61.14	Professional		$21.48	$26.01	$61.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $20.27 / $58.15	Facility		$20.27	$20.27	$58.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $26.35	Professional		$21.48	$21.48	$26.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $27.92 / $47.05	Facility		$21.48	$27.92	$47.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $44.25 / $74.64	Facility		$23.99	$44.25	$74.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $27.60 / $61.14	Professional		$23.52	$27.60	$61.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $27.87 / $62.73	Facility		$21.48	$27.87	$62.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $21.48	Professional		$21.48	$21.48	$21.48
United Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $21.48	Professional		$21.48	$21.48	$21.48