Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $35.40 / $67.56	Facility		$16.86	$35.40	$67.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $16.86 / $31.54	Professional		$15.33	$16.86	$31.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $19.92 / $100.00	Facility		$15.33	$19.92	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $18.32 / $30.00	Professional		$15.33	$18.32	$30.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $14.46 / $33.54	Facility		$14.46	$14.46	$33.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $18.79	Professional		$15.32	$15.32	$18.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $19.16 / $35.84	Facility		$15.32	$19.16	$35.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.92 / $24.90 / $24.90	Facility		$19.92	$24.90	$24.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $19.43 / $30.00	Professional		$16.57	$19.43	$30.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $15.33 / $15.33	Facility		$15.33	$15.33	$15.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.33 / $15.33	Professional		$15.33	$15.33	$15.33
United Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.33 / $15.33	Professional		$15.33	$15.33	$15.33