Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.65 / $18.05 / $32.47	Facility		$4.65	$18.05	$32.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $4.65 / $66.50	Professional		$4.65	$4.65	$66.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $8.66 / $90.00	Facility		$5.20	$8.66	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $4.95 / $14.17	Professional		$2.44	$4.95	$14.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $2.60 / $6.56	Professional		$2.60	$2.60	$6.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $4.95 / $7.43	Facility		$4.95	$4.95	$7.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.95 / $7.43 / $13.61	Facility		$4.95	$7.43	$13.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $5.20 / $7.03	Professional		$4.46	$5.20	$7.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $8.11 / $13.61	Facility		$5.20	$8.11	$13.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $4.95 / $13.47	Professional		$3.71	$4.95	$13.47
United Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.08 / $4.95	Professional		$2.08	$2.08	$4.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $2.23 / $2.56	Professional		$2.23	$2.23	$2.56