Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $25.65 / $82.65	Facility		$14.10	$25.65	$82.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $11.05 / $22.20	Professional		$7.50	$11.05	$22.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.75 / $29.10 / $71.25	Facility		$15.75	$29.10	$71.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $11.52 / $26.48	Professional		$6.00	$11.52	$26.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $22.04 / $39.00	Facility		$8.30	$22.04	$39.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $16.93 / $23.86	Professional		$8.26	$16.93	$23.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $14.47 / $15.91	Professional		$10.68	$14.47	$15.91
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 / $6.85 / $15.00	Professional		$6.30	$6.85	$15.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $6.75 / $7.77	Professional		$6.75	$6.75	$7.77