Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $28.08 / $72.29	Facility		$12.33	$28.08	$72.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $11.73 / $12.33	Professional		$6.95	$11.73	$12.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13.78 / $30.18 / $111.00	Facility		$13.78	$30.18	$111.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $11.81 / $22.65	Professional		$6.48	$11.81	$22.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $23.80 / $38.39	Facility		$9.09	$23.80	$38.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $17.42 / $26.30	Professional		$9.11	$17.42	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $10.12 / $13.12	Professional		$9.34	$10.12	$13.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $13.78 / $28.96	Facility		$13.12	$13.78	$28.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $19.68 / $36.08	Facility		$13.12	$19.68	$36.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $11.81 / $11.81	Professional		$11.81	$11.81	$11.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $21.65 / $36.08	Facility		$15.09	$21.65	$36.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $13.12 / $35.03	Professional		$9.84	$13.12	$35.03
United Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $6.50 / $13.12	Professional		$5.51	$6.50	$13.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $5.90 / $6.80	Professional		$5.90	$5.90	$6.80