Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $40.93 / $228.92	Facility		$12.49	$40.93	$228.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $12.49 / $25.07	Professional		$11.36	$12.49	$25.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $22.50 / $100.00	Facility		$11.36	$22.50	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $16.17 / $42.00	Professional		$11.36	$16.17	$42.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $25.72	Facility		$10.72	$10.72	$25.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $13.93	Professional		$11.36	$11.36	$13.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $14.20 / $34.08	Facility		$11.36	$14.20	$34.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.50 / $34.86 / $34.86	Facility		$22.50	$34.86	$34.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $17.14 / $42.00	Professional		$14.62	$17.14	$42.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $11.36 / $11.36	Facility		$11.36	$11.36	$11.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $11.36	Professional		$11.36	$11.36	$11.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $11.36	Professional		$11.36	$11.36	$11.36