Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $15.57 / $28.01	Facility		$4.01	$15.57	$28.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $4.19	Professional		$4.01	$4.01	$4.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4.48 / $8.33 / $85.00	Facility		$4.48	$8.33	$85.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $4.26 / $9.01	Professional		$2.11	$4.26	$9.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.79 / $7.75 / $12.51	Facility		$3.79	$7.75	$12.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $6.64	Professional		$2.24	$2.24	$6.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.29 / $4.26	Professional		$3.04	$3.29	$4.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $6.41	Facility		$4.26	$4.26	$6.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $6.40 / $12.51	Facility		$4.26	$6.40	$12.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.84 / $3.84 / $3.84	Professional		$3.84	$3.84	$3.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $7.05 / $11.74	Facility		$4.91	$7.05	$11.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $4.26 / $11.68	Professional		$3.20	$4.26	$11.68
United Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.56 / $4.78	Professional		$2.56	$2.56	$4.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $1.92 / $2.21	Professional		$1.92	$1.92	$2.21