Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $12.89 / $30.32	Facility		$12.89	$12.89	$30.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $12.89 / $12.89	Professional		$12.58	$12.89	$12.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6.58 / $9.86 / $19.07	Facility		$6.58	$9.86	$19.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $10.05 / $15.16	Professional		$10.05	$10.05	$15.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $14.94 / $26.80	Facility		$12.89	$14.94	$26.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $12.89 / $12.89	Professional		$12.89	$12.89	$12.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.85 / $79,999.20 / $79,999.20	Facility		$10.85	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $11.20 / $16.96	Facility		$5.39	$11.20	$16.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $13.64 / $15.16	Professional		$11.67	$13.64	$15.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6.58 / $9.44 / $14.65	Facility		$6.58	$9.44	$14.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $10.05 / $10.05	Professional		$10.05	$10.05	$10.05
United Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $12.43 / $12.43	Facility		$12.43	$12.43	$12.43
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $12.43 / $12.43	Professional		$12.43	$12.43	$12.43