Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.35 / $42.46 / $44.37	Facility		$23.35	$42.46	$44.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $23.35 / $29.15	Professional		$21.23	$23.35	$29.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $31.85 / $65.81	Facility		$21.23	$31.85	$65.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $35.02	Professional		$21.23	$21.23	$35.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $51.48 / $89.96	Facility		$28.21	$51.48	$89.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $28.21 / $28.21	Professional		$28.21	$28.21	$28.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $33.97 / $79,999.20	Facility		$21.23	$33.97	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $33.97 / $59.45	Facility		$19.11	$33.97	$59.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $29.87 / $33.19	Professional		$25.56	$29.87	$33.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $27.60 / $56.00	Facility		$21.23	$27.60	$56.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $21.23	Professional		$21.23	$21.23	$21.23
United Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $21.23	Professional		$21.23	$21.23	$21.23