Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $24.86 / $24.86	Facility		$24.86	$24.86	$24.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $26.88 / $44.19	Professional		$24.85	$26.88	$44.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $52.13 / $90.00	Facility		$34.54	$52.13	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $29.25 / $41.26	Professional		$27.79	$29.25	$41.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.44 / $27.44 / $102.80	Facility		$27.44	$27.44	$102.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $27.44 / $27.44	Professional		$27.44	$27.44	$27.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $27.79 / $44.46	Facility		$26.88	$27.79	$44.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $53.19 / $80.44	Facility		$36.56	$53.19	$80.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $27.79 / $30.71	Professional		$23.69	$27.79	$30.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $41.45 / $78.75	Facility		$34.54	$41.45	$78.75
United Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $29.25 / $33.35	Professional		$27.79	$29.25	$33.35