Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $2.64 / $6.20	Facility		$2.64	$2.64	$6.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.64 / $2.64	Professional		$2.57	$2.64	$2.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $3.89 / $7.51	Facility		$2.47	$3.89	$7.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $2.64 / $3.01	Professional		$0.89	$2.64	$3.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $5.28 / $6.64	Facility		$2.64	$5.28	$6.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $2.64 / $2.64	Professional		$2.64	$2.64	$2.64
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 $2.61 / $79,999.20 / $79,999.20	Facility		$2.61	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $3.94 / $6.90	Facility		$2.19	$3.94	$6.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.71 / $3.01	Professional		$2.31	$2.71	$3.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $3.00 / $5.77	Facility		$2.40	$3.00	$5.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.64 / $2.64 / $2.64	Professional		$2.64	$2.64	$2.64
United Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.59 / $2.59	Professional		$2.59	$2.59	$2.59