Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $3.20 / $7.52	Facility		$3.20	$3.20	$7.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $3.20 / $3.20	Professional		$3.12	$3.20	$3.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3.12 / $3.59 / $85.00	Facility		$3.12	$3.59	$85.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.76 / $5.47	Professional		$3.20	$3.76	$5.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $3.20 / $6.40	Facility		$3.20	$3.20	$6.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.20 / $3.20	Professional		$3.20	$3.20	$3.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $79,999.20 / $79,999.20	Facility		$8.52	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.12 / $3.12 / $3.20	Facility		$3.12	$3.12	$3.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $3.38 / $3.76	Professional		$2.90	$3.38	$3.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $3.59 / $8.11	Facility		$3.26	$3.59	$8.11
United Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $3.13	Professional		$3.13	$3.13	$3.13