Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $2.70 / $57.04	Facility		$1.38	$2.70	$57.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.49 / $4.48	Professional		$1.35	$1.49	$4.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $85.00 / $100.00	Facility		$1.35	$85.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.35 / $4.15	Professional		$1.28	$1.35	$4.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.27 / $1.27 / $4.36	Facility		$1.27	$1.27	$4.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $3.15	Professional		$1.35	$1.35	$3.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.30 / $1.48	Professional		$1.07	$1.30	$1.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.19 / $1.35 / $2.65	Facility		$1.19	$1.35	$2.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $3.98 / $3.98	Facility		$2.13	$3.98	$3.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.53 / $2.13 / $3.98	Professional		$1.53	$2.13	$3.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $1.35 / $1.61	Facility		$1.35	$1.35	$1.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.55	Professional		$1.35	$1.35	$1.55
United Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.35	Professional		$1.35	$1.35	$1.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.35	Professional		$1.35	$1.35	$1.35