Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $23.09 / $39.04	Facility		$17.00	$23.09	$39.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $21.48 / $22.28	Professional		$19.51	$21.48	$22.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $29.28 / $60.51	Facility		$17.57	$29.28	$60.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $24.31	Professional		$19.52	$19.52	$24.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $18.42 / $42.12	Facility		$18.42	$18.42	$42.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $23.94	Professional		$19.52	$19.52	$23.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $19.52 / $36.89	Facility		$17.37	$19.52	$36.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $28.12 / $49.22	Facility		$15.64	$28.12	$49.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $18.84 / $24.31	Professional		$17.04	$18.84	$24.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $20.37 / $43.46	Facility		$19.52	$20.37	$43.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $19.52	Professional		$19.52	$19.52	$19.52
United Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $19.52	Professional		$19.52	$19.52	$19.52