Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $22.53 / $29.61	Facility		$14.47	$22.53	$29.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $14.62 / $31.26	Professional		$13.29	$14.62	$31.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $19.59 / $37.86	Facility		$12.72	$19.59	$37.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.73 / $15.24	Professional		$13.29	$13.73	$15.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.54 / $12.54 / $31.50	Facility		$12.54	$12.54	$31.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $16.30	Professional		$13.29	$13.29	$16.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $16.61 / $27.75	Facility		$13.29	$16.61	$27.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.72 / $20.84 / $36.47	Facility		$11.72	$20.84	$36.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $14.10 / $14.96	Professional		$12.75	$14.10	$14.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $15.67 / $29.93	Facility		$12.72	$15.67	$29.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Professional		$13.29	$13.29	$13.29
United Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Professional		$13.29	$13.29	$13.29