Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.62 / $6.16 / $161.82	Facility		$2.62	$6.16	$161.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $2.62 / $2.72	Professional		$2.62	$2.62	$2.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2.78 / $4.61 / $10.99	Facility		$2.78	$4.61	$10.99
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.73 / $3.86	Professional		$1.73	$1.73	$3.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.62 / $2.62 / $5.64	Facility		$2.62	$2.62	$5.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $2.62 / $2.62	Professional		$2.62	$2.62	$2.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $79,999.20 / $79,999.20	Facility		$3.52	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.56 / $4.80 / $10.99	Facility		$3.56	$4.80	$10.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $3.86 / $4.29	Professional		$3.30	$3.86	$4.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $3.68 / $8.84	Facility		$1.73	$3.68	$8.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.73 / $1.73	Professional		$1.73	$1.73	$1.73
United Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $2.57	Professional		$2.57	$2.57	$2.57