Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.25 / $198.43 / $779.00	Facility		$15.25	$198.43	$779.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $15.23 / $20.42	Professional		$13.87	$15.23	$20.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $90.00 / $114.00	Facility		$13.25	$90.00	$114.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $19.20 / $27.61	Professional		$13.25	$19.20	$27.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $18.48 / $29.81	Professional		$14.20	$18.48	$29.81
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 $15.39 / $18.35 / $19.43	Facility		$15.39	$18.35	$19.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $13.25 / $13.59	Facility		$13.25	$13.25	$13.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $21.01 / $26.31	Professional		$13.51	$21.01	$26.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $19.20 / $25.68	Professional		$13.86	$19.20	$25.68
United Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $19.23 / $28.01	Professional		$11.47	$19.23	$28.01