Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $4.21 / $9.90	Facility		$4.21	$4.21	$9.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Professional		$4.21	$4.21	$4.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $3.82 / $7.75	Facility		$2.50	$3.82	$7.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.21 / $4.95	Professional		$4.01	$4.21	$4.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $4.21 / $13.32	Facility		$4.21	$4.21	$13.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Professional		$4.21	$4.21	$4.21
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 $5.39 / $79,999.20 / $79,999.20	Facility		$5.39	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $3.92 / $5.98	Facility		$2.22	$3.92	$5.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.25 / $4.72	Professional		$3.63	$4.25	$4.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $3.75 / $7.25	Facility		$2.50	$3.75	$7.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Professional		$4.21	$4.21	$4.21
United Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $11.63 / $11.63	Facility		$11.63	$11.63	$11.63
United Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $4.21	Professional		$4.13	$4.13	$4.21