Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $270.00 / $270.00	Facility		$45.00	$270.00	$270.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $67.09 / $87.81	Professional		$45.00	$67.09	$87.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $60.00	Facility		$45.00	$45.00	$60.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $52.39 / $68.75	Professional		$41.91	$52.39	$68.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $45.00 / $148.91	Professional		$40.00	$45.00	$148.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.26 / $76.54 / $81.73	Facility		$50.26	$76.54	$81.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $224.00	Facility		$45.00	$45.00	$224.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Facility		$48.00	$48.00	$48.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $71.36 / $111.06	Professional		$48.00	$71.36	$111.06
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $157.22	Professional		$45.00	$45.00	$157.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00