Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.53 / $39.70 / $243.36	Facility		$20.53	$39.70	$243.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $22.17 / $30.00	Professional		$13.26	$22.17	$30.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $21.31 / $100.00	Facility		$15.64	$21.31	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $21.31 / $24.10	Professional		$18.84	$21.31	$24.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.11 / $20.11 / $41.16	Facility		$20.11	$20.11	$41.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $26.14	Professional		$21.31	$21.31	$26.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $26.50 / $44.32	Facility		$21.20	$26.50	$44.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $15.64 / $22.12	Facility		$15.64	$15.64	$22.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $22.12 / $24.10	Professional		$18.84	$22.12	$24.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Facility		$21.31	$21.31	$21.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31