Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $4.70 / $14.45	Facility		$2.49	$4.70	$14.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.49 / $4.70	Professional		$2.25	$2.49	$4.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $3.60 / $211.64	Facility		$2.25	$3.60	$211.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.59 / $9.00	Professional		$2.25	$2.59	$9.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $2.13 / $7.16	Facility		$2.13	$2.13	$7.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $2.78	Professional		$2.25	$2.25	$2.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $2.83 / $6.78	Facility		$2.25	$2.83	$6.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $7.47 / $7.47	Facility		$3.60	$7.47	$7.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.75 / $9.00	Professional		$2.34	$2.75	$9.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $2.25 / $2.25	Facility		$2.25	$2.25	$2.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $2.25	Professional		$2.25	$2.25	$2.25
United Facility/Professional Facility Modifier Low / Median / High Price $3.58 / $3.58 / $3.58	Facility		$3.58	$3.58	$3.58
United Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $2.25	Professional		$2.25	$2.25	$2.25