Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $17.92 / $61.99	Facility		$10.58	$17.92	$61.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $10.58 / $16.64	Professional		$6.30	$10.58	$16.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $22.50 / $100.00	Facility		$11.81	$22.50	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $8.44 / $18.12	Professional		$4.50	$8.44	$18.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.81 / $16.52 / $29.04	Facility		$3.81	$16.52	$29.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $11.48 / $16.52	Professional		$5.89	$11.48	$16.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $10.85 / $11.93	Professional		$8.00	$10.85	$11.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $11.81 / $24.83	Facility		$11.25	$11.81	$24.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $16.88 / $30.94	Facility		$11.25	$16.88	$30.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $10.13 / $10.13	Professional		$10.13	$10.13	$10.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $18.46 / $30.94	Facility		$11.81	$18.46	$30.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $11.25 / $30.54	Professional		$7.01	$11.25	$30.54
United Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $4.73 / $11.25	Professional		$3.18	$4.73	$11.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.83	Professional		$5.05	$5.05	$5.83