Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.26 / $9.58 / $92.05	Facility		$5.26	$9.58	$92.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.27 / $6.98	Professional		$4.79	$5.27	$6.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $7.74 / $197.50	Facility		$4.79	$7.74	$197.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.12 / $12.00	Professional		$4.79	$7.12	$12.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $4.51 / $12.72	Facility		$4.51	$4.51	$12.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $5.87	Professional		$4.79	$4.79	$5.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $5.99 / $14.37	Facility		$4.79	$5.99	$14.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.74 / $9.96 / $9.96	Facility		$7.74	$9.96	$9.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $7.12 / $12.00	Professional		$6.44	$7.12	$12.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Facility		$4.79	$4.79	$4.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79