Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.00 / $37.00 / $87.06	Facility		$37.00	$37.00	$87.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.13 / $37.00 / $37.00	Professional		$36.13	$37.00	$37.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $52.46 / $108.41	Facility		$33.65	$52.46	$108.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $40.70 / $47.89	Professional		$33.65	$40.70	$47.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.71 / $40.71 / $67.30	Facility		$40.71	$40.71	$67.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $40.71 / $40.71	Professional		$40.71	$40.71	$40.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $89.00 / $79,999.20	Facility		$55.00	$89.00	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.62 / $50.88 / $89.04	Facility		$28.62	$50.88	$89.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.48 / $35.63 / $39.59	Professional		$30.48	$35.63	$39.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.94 / $40.70 / $77.86	Facility		$33.94	$40.70	$77.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $40.70 / $40.70	Professional		$40.70	$40.70	$40.70
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $39.90 / $39.90	Professional		$39.90	$39.90	$39.90