Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $35.40 / $83.32	Facility		$35.40	$35.40	$83.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $35.40 / $35.40	Professional		$34.58	$35.40	$35.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $6.09 / $110.82	Facility		$3.75	$6.09	$110.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $50.26 / $50.26	Professional		$35.40	$50.26	$50.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $35.40 / $130.76	Facility		$35.40	$35.40	$130.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $35.40 / $35.40	Professional		$35.40	$35.40	$35.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $74.98 / $114.57	Facility		$35.40	$74.98	$114.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $37.49 / $41.66	Professional		$32.08	$37.49	$41.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3.81 / $4.58 / $9.90	Facility		$3.81	$4.58	$9.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $50.26 / $50.26	Professional		$50.26	$50.26	$50.26
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $34.72	Professional		$34.72	$34.72	$34.72