Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.62 / $3.80	Facility		$1.62	$1.62	$3.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.62 / $1.62	Professional		$1.58	$1.62	$1.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $2.52 / $5.21	Facility		$1.62	$2.52	$5.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.90	Professional		$1.62	$1.62	$1.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $3.24 / $6.48	Facility		$1.62	$3.24	$6.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
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 $2.42 / $79,999.20 / $79,999.20	Facility		$2.42	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $2.68 / $4.70	Facility		$1.51	$2.68	$4.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $1.71 / $1.90	Professional		$1.46	$1.71	$1.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $2.02 / $4.03	Facility		$1.64	$2.02	$4.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
United Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Professional		$1.58	$1.58	$1.58