Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.64 / $61.60 / $204.83	Facility		$28.64	$61.60	$204.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $31.47 / $64.06	Professional		$28.61	$31.47	$64.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $38.28 / $255.00	Facility		$28.61	$38.28	$255.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $96.00	Professional		$28.61	$28.61	$96.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $26.99 / $44.44	Facility		$26.99	$26.99	$44.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $35.09	Professional		$28.61	$28.61	$35.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $36.44 / $64.06	Facility		$28.61	$36.44	$64.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.28 / $79.68 / $79.68	Facility		$38.28	$79.68	$79.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $29.18 / $96.00	Professional		$24.88	$29.18	$96.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $38.10 / $170.13	Facility		$28.61	$38.10	$170.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61
United Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61