Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.38 / $13.03 / $70.29	Facility		$5.38	$13.03	$70.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $5.38 / $12.92	Professional		$5.38	$5.38	$12.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $60.00 / $592.86	Facility		$6.29	$60.00	$592.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $5.15 / $9.85	Professional		$2.83	$5.15	$9.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.97 / $10.40 / $16.73	Facility		$3.97	$10.40	$16.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $7.37 / $11.20	Professional		$3.96	$7.37	$11.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.52 / $6.07	Professional		$4.07	$5.52	$6.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.72 / $6.01 / $14.35	Facility		$5.72	$6.01	$14.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $5.72 / $14.49	Facility		$5.15	$5.72	$14.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $5.15 / $5.15	Professional		$5.15	$5.15	$5.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $298.27 / $483.76 / $920.49	Facility		$298.27	$483.76	$920.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $5.72 / $15.27	Professional		$4.29	$5.72	$15.27
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $5.72	Professional		$2.40	$2.40	$5.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $2.96	Professional		$2.57	$2.57	$2.96