Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.97 / $48.58 / $755.20	Facility		$25.97	$48.58	$755.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $25.97 / $40.76	Professional		$23.61	$25.97	$40.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $63.58 / $123.62	Facility		$23.61	$63.58	$123.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $27.74 / $42.80	Professional		$23.61	$27.74	$42.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.27 / $22.27 / $48.76	Facility		$22.27	$22.27	$48.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $28.95	Professional		$23.61	$23.61	$28.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $27.50 / $70.83	Facility		$23.61	$27.50	$70.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.52 / $63.58 / $97.13	Facility		$35.52	$63.58	$97.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $29.43 / $42.80	Professional		$25.08	$29.43	$42.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $23.61 / $23.61	Facility		$23.61	$23.61	$23.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $23.61	Professional		$23.61	$23.61	$23.61
United Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $23.61	Professional		$23.61	$23.61	$23.61