Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $69.15 / $600.91	Facility		$20.45	$69.15	$600.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $20.45 / $25.52	Professional		$18.59	$20.45	$25.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $22.02 / $92.90	Facility		$18.59	$22.02	$92.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $20.26 / $34.10	Professional		$18.59	$20.26	$34.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $17.54 / $37.44	Facility		$17.54	$17.54	$37.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $22.80	Professional		$18.59	$18.59	$22.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $23.24 / $55.77	Facility		$18.59	$23.24	$55.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $28.30 / $28.30	Facility		$22.02	$28.30	$28.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $21.50 / $34.10	Professional		$18.32	$21.50	$34.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $18.59 / $36.36	Facility		$18.59	$18.59	$36.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
United Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59