Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $13.58 / $13.58	Facility		$13.58	$13.58	$13.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $13.58 / $15.51	Professional		$7.35	$13.58	$15.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $32.61 / $90.00	Facility		$15.91	$32.61	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $13.85 / $15.91	Professional		$7.16	$13.85	$15.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $2.47	Professional		$2.47	$2.47	$2.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $13.75 / $13.75	Professional		$13.75	$13.75	$13.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $15.91 / $21.18	Facility		$14.66	$15.91	$21.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.27 / $27.84 / $43.75	Facility		$14.27	$27.84	$43.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $15.91 / $28.69	Professional		$15.91	$15.91	$28.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $13.85 / $13.85	Professional		$13.85	$13.85	$13.85
United Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $17.64 / $37.17	Professional		$14.64	$17.64	$37.17