Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.77 / $21.97 / $116.41	Facility		$8.77	$21.97	$116.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $16.69 / $62.40	Professional		$14.05	$16.69	$62.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $14.46 / $100.00	Facility		$14.34	$14.46	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $14.34 / $15.65	Professional		$13.74	$14.34	$15.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.75 / $14.75 / $47.28	Facility		$14.75	$14.75	$47.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $14.75 / $14.75	Professional		$14.75	$14.75	$14.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $12.42 / $47.35	Professional		$2.67	$12.42	$47.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $44.92 / $45.56	Facility		$37.40	$44.92	$45.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $14.46 / $14.46	Facility		$14.46	$14.46	$14.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $13.74 / $15.18	Professional		$11.71	$13.74	$15.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $14.34 / $14.34	Facility		$14.34	$14.34	$14.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $14.34	Professional		$14.34	$14.34	$14.34
United Facility/Professional Facility Modifier Low / Median / High Price $15.79 / $15.79 / $15.79	Facility		$15.79	$15.79	$15.79
United Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $15.02 / $15.95	Professional		$13.29	$15.02	$15.95