Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $28.88 / $67.95	Facility		$28.88	$28.88	$67.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $28.88 / $33.84	Professional		$28.20	$28.88	$33.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $30.02 / $45.03 / $87.06	Facility		$30.02	$45.03	$87.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $33.97 / $49.53	Professional		$28.88	$33.97	$49.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $28.88 / $115.52	Facility		$28.88	$28.88	$115.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Professional		$28.88	$28.88	$28.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.97 / $79,999.20 / $79,999.20	Facility		$44.97	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.52 / $34.52 / $68.73	Facility		$25.52	$34.52	$68.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.16 / $30.58 / $33.97	Professional		$26.16	$30.58	$33.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.02 / $37.53 / $74.65	Facility		$30.02	$37.53	$74.65
United Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $28.32 / $33.97	Professional		$28.32	$28.32	$33.97