Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.56 / $66.77 / $450.84	Facility		$5.56	$66.77	$450.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $6.94 / $646.40	Professional		$5.05	$6.94	$646.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $8.46 / $132.88	Facility		$5.05	$8.46	$132.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $6.08 / $24.00	Professional		$5.05	$6.08	$24.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $4.76 / $19.04	Facility		$4.76	$4.76	$19.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $6.20	Professional		$5.05	$5.05	$6.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $6.33 / $15.18	Facility		$5.05	$6.33	$15.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $19.92 / $19.92	Facility		$8.46	$19.92	$19.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.45 / $24.00	Professional		$5.50	$6.45	$24.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $115.96	Facility		$5.05	$5.05	$115.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Professional		$5.05	$5.05	$5.05
United Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $9.52 / $9.52	Facility		$9.52	$9.52	$9.52
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $6.33	Professional		$5.05	$5.05	$6.33