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 $3.89 / $4.65 / $4.65	Professional		$3.89	$4.65	$4.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $9.60 / $75.00	Facility		$5.20	$9.60	$75.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $4.95 / $9.93	Professional		$2.44	$4.95	$9.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.53 / $8.97 / $14.49	Facility		$3.53	$8.97	$14.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $2.60 / $19.09	Professional		$2.60	$2.60	$19.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $4.95 / $4.95	Professional		$4.95	$4.95	$4.95
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 / $4.46 / $4.46	Professional		$4.46	$4.46	$4.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5.69 / $8.17 / $13.61	Facility		$5.69	$8.17	$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