Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.61 / $5.61 / $5.61	Facility		$5.61	$5.61	$5.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $5.61 / $6.41	Professional		$3.04	$5.61	$6.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6.74 / $11.80 / $216.93	Facility		$6.74	$11.80	$216.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $5.73 / $6.58	Professional		$2.90	$5.73	$6.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Professional		$5.50	$5.50	$5.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $5.67 / $5.67	Professional		$5.67	$5.67	$5.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.58 / $6.58 / $79,999.20	Facility		$6.58	$6.58	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.90 / $10.26 / $16.67	Facility		$5.90	$10.26	$16.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $6.58 / $11.86	Professional		$6.58	$6.58	$11.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8.33 / $9.99 / $18.98	Facility		$8.33	$9.99	$18.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $5.73	Professional		$5.73	$5.73	$5.73
United Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $6.74 / $6.74	Facility		$5.39	$6.74	$6.74
United Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $7.29 / $17.25	Professional		$6.05	$7.29	$17.25