Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $12.34 / $29.04	Facility		$12.34	$12.34	$29.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.34 / $12.34	Professional		$12.05	$12.34	$12.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $20.46 / $85.00	Facility		$10.64	$20.46	$85.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $12.34 / $14.52	Professional		$11.87	$12.34	$14.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.87 / $12.34 / $24.68	Facility		$11.87	$12.34	$24.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Professional		$12.34	$12.34	$12.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.37 / $79,999.20 / $79,999.20	Facility		$18.37	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.87 / $23.76 / $36.29	Facility		$11.87	$23.76	$36.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $12.56 / $13.96	Professional		$10.75	$12.56	$13.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $12.34 / $19.89	Facility		$9.67	$12.34	$19.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Professional		$12.34	$12.34	$12.34
United Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $12.10 / $12.10	Professional		$12.10	$12.10	$12.10