Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $22.76 / $58.63	Facility		$10.00	$22.76	$58.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $10.00 / $18.96	Professional		$5.63	$10.00	$18.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11.17 / $21.28 / $60.00	Facility		$11.17	$21.28	$60.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $9.58 / $18.35	Professional		$5.25	$9.58	$18.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.36 / $19.28 / $31.14	Facility		$7.36	$19.28	$31.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $13.69 / $21.43	Professional		$7.40	$13.69	$21.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $8.20 / $10.64	Professional		$7.57	$8.20	$10.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $11.17 / $23.49	Facility		$10.64	$11.17	$23.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $15.96 / $29.26	Facility		$10.64	$15.96	$29.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $9.58 / $9.58	Professional		$9.58	$9.58	$9.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $17.55 / $29.26	Facility		$12.24	$17.55	$29.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $10.64 / $28.74	Professional		$7.98	$10.64	$28.74
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.27 / $11.92	Professional		$4.47	$5.27	$11.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $5.51	Professional		$4.79	$4.79	$5.51