Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $5.61 / $13.60	Facility		$4.00	$5.61	$13.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $4.00 / $11.50	Professional		$3.62	$4.00	$11.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $15.44 / $32.93	Facility		$10.29	$15.44	$32.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.98 / $27.94	Professional		$3.63	$5.98	$27.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $3.43 / $3.63	Facility		$3.43	$3.43	$3.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $4.46	Professional		$3.63	$3.63	$4.46
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 $3.63 / $5.62 / $16.89	Facility		$3.63	$5.62	$16.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $17.34 / $25.96	Facility		$9.63	$17.34	$25.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $10.25 / $27.94	Professional		$8.74	$10.25	$27.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $13.25 / $29.84	Facility		$10.29	$13.25	$29.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63