Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $36.34 / $234.35	Facility		$19.98	$36.34	$234.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $19.98 / $21.45	Professional		$18.17	$19.98	$21.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.17 / $25.26 / $128.49	Facility		$18.17	$25.26	$128.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $39.00	Professional		$18.17	$18.17	$39.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $17.14 / $32.40	Facility		$17.14	$17.14	$32.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $22.28	Professional		$18.17	$18.17	$22.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.67 / $22.09 / $37.79	Facility		$17.67	$22.09	$37.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $32.36 / $32.36	Facility		$25.26	$32.36	$32.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $19.26 / $39.00	Professional		$16.42	$19.26	$39.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.17 / $18.17 / $18.17	Facility		$18.17	$18.17	$18.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $18.17	Professional		$18.17	$18.17	$18.17
United Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $18.17	Professional		$18.17	$18.17	$18.17