Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.78 / $38.79 / $105.95	Facility		$22.78	$38.79	$105.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $22.79 / $26.74	Professional		$20.72	$22.79	$26.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.68 / $20.72 / $100.00	Facility		$19.68	$20.72	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $23.06 / $25.12	Professional		$20.72	$23.06	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $19.54 / $42.58	Facility		$19.54	$19.54	$42.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $25.41	Professional		$20.72	$20.72	$25.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $25.90 / $62.16	Facility		$20.72	$25.90	$62.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.68 / $19.68 / $23.06	Facility		$19.68	$19.68	$23.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $23.68 / $25.12	Professional		$21.41	$23.68	$25.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Facility		$20.72	$20.72	$20.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Professional		$20.72	$20.72	$20.72
United Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Professional		$20.72	$20.72	$20.72