Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $38.54 / $313.27	Facility		$8.40	$38.54	$313.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.94 / $12.30	Professional		$6.08	$6.94	$12.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $6.03 / $16.05	Professional		$5.21	$6.03	$16.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $19.96 / $99.74	Facility		$9.11	$19.96	$99.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $7.81 / $15.00	Professional		$4.29	$7.81	$15.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.01 / $17.77 / $25.50	Facility		$6.01	$17.77	$25.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $11.23 / $17.53	Professional		$6.03	$11.23	$17.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $8.36 / $9.20	Professional		$6.18	$8.36	$9.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.68 / $9.11 / $25.63	Facility		$8.68	$9.11	$25.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.81 / $8.68 / $8.68	Facility		$7.81	$8.68	$8.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $7.81 / $7.81	Professional		$7.81	$7.81	$7.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9.98 / $14.24 / $23.87	Facility		$9.98	$14.24	$23.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $8.68 / $23.35	Professional		$6.51	$8.68	$23.35
United Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $3.65 / $9.72	Professional		$3.65	$3.65	$9.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $4.50 / $4.50	Professional		$4.50	$4.50	$4.50