Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $10.19 / $24.00	Facility		$10.19	$10.19	$24.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.58	Professional		$10.19	$10.19	$10.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3.03 / $4.84 / $10.84	Facility		$3.03	$4.84	$10.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $6.12 / $12.75	Professional		$6.12	$6.12	$12.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $10.19 / $110.32	Facility		$10.19	$10.19	$110.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
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 $2.84 / $6.02 / $10.84	Facility		$2.84	$6.02	$10.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $11.48 / $12.75	Professional		$9.82	$11.48	$12.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3.03 / $4.76 / $9.69	Facility		$3.03	$4.76	$9.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $6.12 / $6.12	Professional		$6.12	$6.12	$6.12
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $12.00	Professional		$10.00	$10.00	$12.00