Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $14.38 / $14.38	Facility		$14.38	$14.38	$14.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $14.38 / $16.42	Professional		$7.78	$14.38	$16.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.25 / $30.22 / $142.37	Facility		$17.25	$30.22	$142.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $14.66 / $16.85	Professional		$7.40	$14.66	$16.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $14.54 / $14.54	Professional		$14.54	$14.54	$14.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $16.85 / $79,999.20	Facility		$16.85	$16.85	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $26.27 / $42.69	Facility		$15.11	$26.27	$42.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $16.85 / $30.38	Professional		$16.85	$16.85	$30.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $25.47 / $48.39	Facility		$21.23	$25.47	$48.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $14.66 / $14.66	Professional		$14.66	$14.66	$14.66
United Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $18.30 / $39.36	Professional		$15.90	$18.30	$39.36