Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.23 / $2.90	Facility		$1.22	$1.23	$2.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.23 / $1.23	Professional		$1.20	$1.23	$1.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $1.49 / $100.00	Facility		$0.45	$1.49	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $1.61	Professional		$0.45	$0.45	$1.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $2.90	Facility		$1.23	$1.23	$2.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Professional		$1.23	$1.23	$1.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.49 / $1.49 / $1.52	Facility		$1.49	$1.49	$1.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.61 / $1.79	Professional		$1.38	$1.61	$1.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $0.45 / $0.45	Facility		$0.45	$0.45	$0.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.45 / $0.45	Professional		$0.45	$0.45	$0.45
United Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Facility		$4.76	$4.76	$4.76
United Facility/Professional Professional Modifier Low / Median / High Price $1.21 / $1.21 / $1.21	Professional		$1.21	$1.21	$1.21