Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.87 / $11.93 / $35.59	Facility		$4.87	$11.93	$35.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $4.68 / $8.16	Professional		$2.75	$4.68	$8.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5.70 / $62.64 / $592.86	Facility		$5.70	$62.64	$592.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $4.66 / $9.61	Professional		$2.56	$4.66	$9.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.59 / $10.62 / $120.63	Facility		$3.59	$10.62	$120.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $6.70 / $10.23	Professional		$3.62	$6.70	$10.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $5.00 / $5.50	Professional		$3.68	$5.00	$5.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $5.44 / $13.33	Facility		$5.18	$5.44	$13.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.66 / $5.18 / $13.09	Facility		$4.66	$5.18	$13.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $4.66 / $4.66	Professional		$4.66	$4.66	$4.66
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 $3.89 / $5.18 / $14.37	Professional		$3.89	$5.18	$14.37
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $5.80	Professional		$2.18	$2.18	$5.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.33 / $2.68	Professional		$2.33	$2.33	$2.68