Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $14.84	Facility		$6.31	$6.31	$14.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $6.31 / $6.31	Professional		$6.16	$6.31	$6.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5.83 / $7.46 / $15.38	Facility		$5.83	$7.46	$15.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $7.85	Professional		$4.57	$4.57	$7.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $4.76 / $19.04	Facility		$4.76	$4.76	$19.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $5.84	Professional		$4.76	$4.76	$5.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $12.76 / $50.00	Professional		$12.76	$12.76	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.70 / $9.25 / $9.38	Facility		$7.70	$9.25	$9.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.83 / $6.99 / $13.28	Facility		$5.83	$6.99	$13.28
United Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $5.71	Professional		$4.76	$4.76	$5.71