Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.08 / $1.08 / $2.54	Facility		$1.08	$1.08	$2.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.08 / $1.08	Professional		$1.05	$1.08	$1.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.94 / $1.47 / $2.84	Facility		$0.94	$1.47	$2.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.08 / $1.24	Professional		$1.05	$1.08	$1.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.08 / $2.16 / $3.28	Facility		$1.08	$2.16	$3.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $1.08 / $1.08	Professional		$1.08	$1.08	$1.08
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 $1.20 / $79,999.20 / $79,999.20	Facility		$1.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.84 / $1.51 / $2.63	Facility		$0.84	$1.51	$2.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $1.12 / $1.24	Professional		$0.95	$1.12	$1.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.91 / $1.18 / $2.18	Facility		$0.91	$1.18	$2.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.08 / $1.08 / $1.08	Professional		$1.08	$1.08	$1.08
United Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $1.06 / $1.06	Professional		$1.06	$1.06	$1.06