Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $30.47 / $37.74	Facility		$17.48	$30.47	$37.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $18.20 / $23.82	Professional		$16.54	$18.20	$23.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $20.93 / $100.00	Facility		$16.54	$20.93	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $16.54 / $36.22	Professional		$15.96	$16.54	$36.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $15.60 / $32.08	Facility		$15.60	$15.60	$32.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $20.29	Professional		$16.54	$16.54	$20.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $20.68 / $37.52	Facility		$16.54	$20.68	$37.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.93 / $30.07 / $30.07	Facility		$20.93	$30.07	$30.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $15.96 / $36.22	Professional		$13.60	$15.96	$36.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $16.54 / $16.54	Facility		$16.54	$16.54	$16.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $16.54	Professional		$16.54	$16.54	$16.54
United Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $16.54	Professional		$16.54	$16.54	$16.54