Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $23.68 / $66.73	Facility		$11.38	$23.68	$66.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $14.48 / $27.31	Professional		$11.38	$14.48	$27.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $23.61 / $87.00	Facility		$12.72	$23.61	$87.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $10.90 / $21.85	Professional		$5.98	$10.90	$21.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.38 / $21.97 / $35.42	Facility		$8.38	$21.97	$35.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $16.07 / $24.35	Professional		$8.44	$16.07	$24.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.62 / $11.68 / $12.84	Professional		$8.62	$11.68	$12.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $12.72 / $26.73	Facility		$12.11	$12.72	$26.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $18.17 / $33.29	Facility		$12.11	$18.17	$33.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $10.90 / $10.90	Professional		$10.90	$10.90	$10.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $19.87 / $33.29	Facility		$13.93	$19.87	$33.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $12.11 / $32.34	Professional		$9.08	$12.11	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $13.56	Professional		$5.09	$5.09	$13.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $5.45 / $6.27	Professional		$5.45	$5.45	$6.27