Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $93.74 / $521.62	Facility		$3.54	$93.74	$521.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $4.05 / $182.61	Professional		$3.22	$4.05	$182.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $6.28 / $164.71	Facility		$3.22	$6.28	$164.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $4.51 / $9.60	Professional		$3.22	$4.51	$9.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $7.02	Facility		$3.04	$3.04	$7.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $3.95	Professional		$3.22	$3.22	$3.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $4.19 / $8.22	Facility		$3.22	$4.19	$8.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.28 / $9.96 / $9.96	Facility		$6.28	$9.96	$9.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.79 / $12.00	Professional		$4.09	$4.79	$12.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $3.22 / $3.22	Facility		$3.22	$3.22	$3.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $3.22	Professional		$3.22	$3.22	$3.22
United Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $4.03	Professional		$3.22	$3.22	$4.03