Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.91 / $48.84 / $295.00	Facility		$27.91	$48.84	$295.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $31.96 / $99.39	Professional		$25.37	$31.96	$99.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $50.46 / $147.61	Facility		$25.37	$50.46	$147.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $36.27 / $96.24	Professional		$25.37	$36.27	$96.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $23.93 / $66.80	Facility		$23.93	$23.93	$66.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $31.11	Professional		$25.37	$25.37	$31.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $31.72 / $58.28	Facility		$25.37	$31.72	$58.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $79.88 / $79.88	Facility		$50.46	$79.88	$79.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $38.47 / $96.24	Professional		$32.79	$38.47	$96.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $25.37 / $25.37	Facility		$25.37	$25.37	$25.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $25.37	Professional		$25.37	$25.37	$25.37
United Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $25.37	Professional		$25.37	$25.37	$25.37