Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $28.22 / $82.65	Facility		$14.10	$28.22	$82.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $14.10 / $28.22	Professional		$10.19	$14.10	$28.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.75 / $27.00 / $79.00	Facility		$15.75	$27.00	$79.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $13.65 / $28.50	Professional		$6.51	$13.65	$28.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.14 / $23.91 / $42.32	Facility		$9.14	$23.91	$42.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $17.20 / $26.30	Professional		$9.11	$17.20	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $11.57 / $15.00	Professional		$10.68	$11.57	$15.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.75 / $33.11	Facility		$15.00	$15.75	$33.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $22.50 / $41.25	Facility		$15.00	$22.50	$41.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $13.50 / $13.50	Professional		$13.50	$13.50	$13.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $24.62 / $41.25	Facility		$17.25	$24.62	$41.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $15.00 / $40.42	Professional		$11.25	$15.00	$40.42
United Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $6.30 / $15.00	Professional		$6.30	$6.30	$15.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $6.75 / $7.77	Professional		$6.75	$6.75	$7.77