Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $19.01 / $31.01	Facility		$15.51	$19.01	$31.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $16.32 / $18.04	Professional		$14.85	$16.32	$18.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $18.20 / $34.32	Facility		$14.85	$18.20	$34.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $15.47 / $23.11	Professional		$14.85	$15.47	$23.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $28.56	Facility		$14.00	$14.00	$28.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $14.84 / $18.21	Professional		$14.84	$14.84	$18.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.84 / $18.55 / $30.95	Facility		$14.84	$18.55	$30.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.76 / $22.69 / $39.71	Facility		$12.76	$22.69	$39.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $15.47 / $22.55	Professional		$13.99	$15.47	$22.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $16.34 / $28.80	Facility		$14.40	$16.34	$28.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $14.85 / $14.85	Professional		$14.85	$14.85	$14.85
United Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $15.99 / $15.99	Facility		$15.99	$15.99	$15.99
United Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $14.85 / $16.63	Professional		$14.85	$14.85	$16.63