Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.65 / $24.41 / $62.40	Facility		$6.65	$24.41	$62.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.95 / $17.12	Professional		$6.05	$6.95	$17.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $18.61 / $100.00	Facility		$6.05	$18.61	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $9.98 / $26.08	Professional		$6.05	$9.98	$26.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.70 / $5.70 / $25.14	Facility		$5.70	$5.70	$25.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $7.41	Professional		$6.05	$6.05	$7.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $12.58 / $31.12	Facility		$6.05	$12.58	$31.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.61 / $21.65 / $21.65	Facility		$18.61	$21.65	$21.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $17.12 / $26.08	Professional		$15.49	$17.12	$26.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $6.05 / $6.05	Facility		$6.05	$6.05	$6.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $6.05	Professional		$6.05	$6.05	$6.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $6.05	Professional		$6.05	$6.05	$6.05