Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $50.92 / $77.54	Facility		$28.00	$50.92	$77.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $28.00 / $37.29	Professional		$25.46	$28.00	$37.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $50.58 / $97.79	Facility		$30.10	$50.58	$97.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $34.72 / $43.19	Professional		$25.46	$34.72	$43.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.02 / $24.02 / $79.69	Facility		$24.02	$24.02	$79.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $31.22	Professional		$25.46	$25.46	$31.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $34.36 / $90.62	Facility		$25.46	$34.36	$90.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.67 / $52.74 / $92.30	Facility		$29.67	$52.74	$92.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $35.65 / $43.19	Professional		$32.24	$35.65	$43.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $40.46 / $75.08	Facility		$25.46	$40.46	$75.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $25.46	Professional		$25.46	$25.46	$25.46
United Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $28.52	Professional		$25.46	$25.46	$28.52