Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.53 / $23.96 / $61.71	Facility		$10.53	$23.96	$61.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $10.53 / $23.04	Professional		$5.94	$10.53	$23.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $25.76 / $109.00	Facility		$11.76	$25.76	$109.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.53 / $10.19 / $19.30	Professional		$5.53	$10.19	$19.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.75 / $20.29 / $32.76	Facility		$7.75	$20.29	$32.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $14.74 / $22.40	Professional		$7.75	$14.74	$22.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $10.80 / $11.88	Professional		$7.97	$10.80	$11.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.20 / $11.76 / $25.63	Facility		$11.20	$11.76	$25.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.20 / $16.80 / $30.80	Facility		$11.20	$16.80	$30.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $10.08 / $10.08	Professional		$10.08	$10.08	$10.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $18.48 / $30.80	Facility		$12.88	$18.48	$30.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $11.20 / $30.54	Professional		$8.40	$11.20	$30.54
United Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $4.70 / $11.20	Professional		$4.70	$4.70	$11.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $5.04 / $5.80	Professional		$5.04	$5.04	$5.80