Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $47.20 / $47.20	Professional		$47.20	$47.20	$47.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $112.04 / $112.04	Facility		$1.52	$112.04	$112.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $25.10 / $54.66	Professional		$4.50	$25.10	$54.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $24.71 / $34.24	Professional		$12.81	$24.71	$34.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.60 / $48.24 / $142.88	Facility		$39.60	$48.24	$142.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.52 / $1.52	Facility		$1.52	$1.52	$1.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.52 / $61.11	Professional		$1.52	$1.52	$61.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Facility		$32.34	$32.34	$32.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $32.34 / $64.67	Professional		$28.58	$32.34	$64.67
United Facility/Professional Facility Modifier Low / Median / High Price $13.62 / $13.62 / $13.62	Facility		$13.62	$13.62	$13.62
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.16 / $25.90	Professional		$10.11	$10.16	$25.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $7.92 / $12.42	Professional		$7.92	$7.92	$12.42