Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $22.97 / $54.04	Facility		$22.97	$22.97	$54.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $22.97 / $22.97	Professional		$22.43	$22.97	$22.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $25.40 / $65.76	Facility		$18.38	$25.40	$65.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $24.32 / $27.02	Professional		$15.79	$24.32	$27.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $22.97 / $45.94	Facility		$22.97	$22.97	$45.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Professional		$22.97	$22.97	$22.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $27.75 / $28.14	Facility		$23.10	$27.75	$28.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.43 / $22.43 / $22.97	Facility		$22.43	$22.43	$22.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $24.32 / $27.02	Professional		$20.81	$24.32	$27.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $24.56 / $51.90	Facility		$18.05	$24.56	$51.90
United Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $22.52 / $22.52	Facility		$22.52	$22.52	$22.52
United Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $22.52 / $27.02	Professional		$22.52	$22.52	$27.02