Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.13 / $19.13 / $19.13	Facility		$19.13	$19.13	$19.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $17.10 / $19.14	Professional		$14.90	$17.10	$19.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $22.97 / $50.52	Facility		$19.14	$22.97	$50.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $29.79 / $41.73	Professional		$19.87	$29.79	$41.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $24.28 / $47.20	Professional		$14.62	$24.28	$47.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.30 / $30.73 / $30.82	Facility		$25.30	$30.73	$30.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $21.02	Facility		$19.48	$19.48	$21.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $32.57 / $41.73	Professional		$21.02	$32.57	$41.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $22.97 / $43.63	Facility		$19.14	$22.97	$43.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $29.79 / $40.72	Professional		$19.87	$29.79	$40.72
United Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $22.79 / $41.03	Professional		$15.30	$22.79	$41.03