Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $22.51 / $38.06	Facility		$19.80	$22.51	$38.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $20.00 / $4,200.00	Professional		$18.01	$20.00	$4,200.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $23.41 / $44.98	Facility		$18.01	$23.41	$44.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $19.18 / $24.97	Professional		$18.01	$19.18	$24.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $18.01	Facility		$16.98	$16.98	$18.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $22.09	Professional		$18.01	$18.01	$22.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $18.23 / $37.38	Facility		$18.01	$18.23	$37.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $29.74 / $52.04	Facility		$16.73	$29.74	$52.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $19.70 / $23.78	Professional		$17.82	$19.70	$23.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $19.80 / $36.47	Facility		$18.01	$19.80	$36.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.01	Professional		$18.01	$18.01	$18.01
United Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.01	Professional		$18.01	$18.01	$18.01