Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $98.20	Facility		$38.25	$38.25	$98.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $38.25 / $47.06	Professional		$1.93	$38.25	$47.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $42.24 / $168.75	Facility		$37.35	$42.24	$168.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $42.24 / $45.00	Professional		$2.11	$42.24	$45.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $38.25 / $76.50	Facility		$5.12	$38.25	$76.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $37.35 / $38.25	Facility		$37.35	$37.35	$38.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $40.50 / $45.00	Professional		$34.65	$40.50	$45.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.24 / $42.24 / $42.24	Facility		$42.24	$42.24	$42.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $42.24 / $42.24	Professional		$42.24	$42.24	$42.24
United Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $37.50	Professional		$37.50	$37.50	$37.50