Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.52 / $12.64 / $96.53	Facility		$2.52	$12.64	$96.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.40 / $5.51	Professional		$2.18	$2.40	$5.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $4.84 / $100.00	Facility		$2.18	$4.84	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $3.06 / $5.22	Professional		$2.18	$3.06	$5.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.06 / $9.16	Facility		$2.06	$2.06	$9.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $2.68	Professional		$2.18	$2.18	$2.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $4.53 / $9.46	Facility		$2.18	$4.53	$9.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $2.54 / $4.84	Facility		$2.54	$2.54	$4.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $4.84 / $5.27	Professional		$3.06	$4.84	$5.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $2.18 / $2.18	Facility		$2.18	$2.18	$2.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $2.18	Professional		$2.18	$2.18	$2.18
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $2.18	Professional		$2.18	$2.18	$2.18