Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.67 / $17.07 / $62.73	Facility		$6.67	$17.07	$62.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.43 / $12.43	Professional		$11.18	$11.43	$12.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11.19 / $15.54 / $100.00	Facility		$11.19	$15.54	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $15.18 / $18.72	Professional		$11.19	$15.18	$18.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $10.55 / $24.66	Facility		$10.55	$10.55	$24.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.19 / $13.72	Professional		$11.19	$11.19	$13.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $11.81 / $33.57	Facility		$9.44	$11.81	$33.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $15.54 / $16.50	Facility		$15.54	$15.54	$16.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $15.18 / $18.72	Professional		$13.73	$15.18	$18.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11.19 / $11.19 / $11.19	Facility		$11.19	$11.19	$11.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.19 / $11.19	Professional		$11.19	$11.19	$11.19
United Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.19 / $13.43	Professional		$11.19	$11.19	$13.43