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 $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $112.04 / $112.04	Facility		$5.09	$112.04	$112.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $18.68 / $53.98	Professional		$5.09	$18.68	$53.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $24.71 / $34.24	Professional		$12.19	$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 $5.09 / $5.09 / $5.09	Facility		$5.09	$5.09	$5.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $61.11	Professional		$5.09	$5.09	$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 Professional Modifier Low / Median / High Price $10.08 / $10.16 / $25.52	Professional		$10.08	$10.16	$25.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $11.56 / $11.56	Professional		$11.56	$11.56	$11.56