Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $14.18 / $28.43	Facility		$4.84	$14.18	$28.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $4.84 / $14.74	Professional		$4.84	$4.84	$14.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $10.06 / $230.00	Facility		$5.42	$10.06	$230.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $5.09 / $10.21	Professional		$2.54	$5.09	$10.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $9.36 / $15.08	Facility		$4.76	$9.36	$15.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $7.23 / $13.64	Professional		$4.82	$7.23	$13.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $4.98 / $5.47	Professional		$3.67	$4.98	$5.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.16 / $5.42 / $11.39	Facility		$5.16	$5.42	$11.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.16 / $7.74 / $15.95	Facility		$5.16	$7.74	$15.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $4.63 / $4.63	Professional		$4.63	$4.63	$4.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.93 / $8.51 / $14.19	Facility		$5.93	$8.51	$14.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $5.16 / $14.37	Professional		$3.87	$5.16	$14.37
United Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $2.58 / $5.78	Professional		$2.17	$2.58	$5.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.31 / $2.67	Professional		$2.31	$2.31	$2.67