Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $59.40 / $124.08	Facility		$15.56	$59.40	$124.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $15.56 / $33.22	Professional		$10.46	$15.56	$33.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $33.10 / $78.61	Facility		$17.38	$33.10	$78.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $12.71 / $26.62	Professional		$6.62	$12.71	$26.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.30 / $33.89 / $55.46	Facility		$8.30	$33.89	$55.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $19.00 / $23.86	Professional		$8.83	$19.00	$23.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $15.97 / $17.56	Professional		$11.78	$15.97	$17.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $17.38 / $88.15	Facility		$16.55	$17.38	$88.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $16.55 / $16.55	Facility		$14.90	$16.55	$16.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $14.90 / $14.90	Professional		$14.90	$14.90	$14.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $27.16 / $45.51	Facility		$19.03	$27.16	$45.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $16.55 / $44.91	Professional		$12.41	$16.55	$44.91
United Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $16.55	Professional		$14.00	$14.00	$16.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $8.57 / $8.57	Professional		$8.57	$8.57	$8.57