Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.43 / $3.36 / $82.99	Facility		$1.43	$3.36	$82.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.43 / $1.43	Professional		$1.39	$1.43	$1.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $1.39 / $100.00	Facility		$0.88	$1.39	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $0.88 / $1.68	Professional		$0.87	$0.88	$1.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.43 / $1.43 / $2.86	Facility		$1.43	$1.43	$2.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $1.43 / $1.43	Professional		$1.43	$1.43	$1.43
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 $1.39 / $1.39 / $1.43	Facility		$1.39	$1.39	$1.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.51 / $1.68	Professional		$1.29	$1.51	$1.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $0.88 / $0.88	Facility		$0.88	$0.88	$0.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $0.88 / $0.88	Professional		$0.88	$0.88	$0.88
United Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.40 / $1.68	Professional		$1.40	$1.40	$1.68