Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.65 / $16.59 / $55.05	Facility		$7.65	$16.59	$55.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $6.98 / $12.60	Professional		$5.97	$6.98	$12.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $17.73 / $109.00	Facility		$8.10	$17.73	$109.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $6.94 / $13.30	Professional		$3.80	$6.94	$13.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.34 / $15.78 / $55.86	Facility		$5.34	$15.78	$55.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $10.27 / $15.58	Professional		$5.34	$10.27	$15.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $7.44 / $8.18	Professional		$5.48	$7.44	$8.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.71 / $8.10 / $17.02	Facility		$7.71	$8.10	$17.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.71 / $11.57 / $21.20	Facility		$7.71	$11.57	$21.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $6.94 / $6.94	Professional		$6.94	$6.94	$6.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $12.72 / $21.20	Facility		$8.86	$12.72	$21.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $7.71 / $20.66	Professional		$5.78	$7.71	$20.66
United Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $8.64	Professional		$3.24	$3.24	$8.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $3.99	Professional		$3.47	$3.47	$3.99