Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $21.24 / $22.20	Facility		$11.68	$21.24	$22.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $11.68 / $12.86	Professional		$10.62	$11.68	$12.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $15.93 / $32.92	Facility		$10.62	$15.93	$32.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $39.35	Professional		$10.62	$10.62	$39.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.45 / $33.45 / $66.90	Facility		$33.45	$33.45	$66.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $33.45 / $33.45	Professional		$33.45	$33.45	$33.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $16.98 / $79,999.20	Facility		$10.62	$16.98	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $19.11 / $33.45	Facility		$9.02	$19.11	$33.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $35.42 / $39.35	Professional		$30.30	$35.42	$39.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $13.81 / $29.38	Facility		$10.62	$13.81	$29.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Professional		$10.62	$10.62	$10.62
United Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Professional		$10.62	$10.62	$10.62