Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.15 / $47.06 / $61.08	Facility		$28.15	$47.06	$61.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $28.15 / $37.58	Professional		$25.59	$28.15	$37.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $28.96 / $108.44	Facility		$25.59	$28.96	$108.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $26.65 / $35.81	Professional		$25.59	$26.65	$35.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $24.14 / $47.24	Facility		$24.14	$24.14	$47.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $31.39	Professional		$25.59	$25.59	$31.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $31.99 / $76.77	Facility		$25.59	$31.99	$76.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.96 / $29.72 / $29.72	Facility		$28.96	$29.72	$29.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $26.65 / $35.81	Professional		$24.10	$26.65	$35.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $25.59 / $29.24	Facility		$25.59	$25.59	$29.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $25.59	Professional		$25.59	$25.59	$25.59
United Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $25.59	Professional		$25.59	$25.59	$25.59