Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $0.68 / $1.60	Facility		$0.68	$0.68	$1.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.68 / $0.68	Professional		$0.66	$0.68	$0.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.41 / $0.66 / $2.20	Facility		$0.41	$0.66	$2.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $0.80	Professional		$0.68	$0.68	$0.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $0.68 / $2.72	Facility		$0.68	$0.68	$2.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $0.68	Professional		$0.68	$0.68	$0.68
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 $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $1.44 / $2.20	Facility		$0.90	$1.44	$2.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.72 / $0.80	Professional		$0.62	$0.72	$0.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.43 / $0.51 / $0.91	Facility		$0.43	$0.51	$0.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $0.68	Professional		$0.68	$0.68	$0.68
United Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $0.66 / $0.79	Professional		$0.66	$0.66	$0.79