Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $34.09 / $94.35	Facility		$13.70	$34.09	$94.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $13.70 / $25.38	Professional		$12.38	$13.70	$25.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $8.74 / $10.11	Professional		$8.74	$8.74	$10.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $29.14 / $75.23	Facility		$15.30	$29.14	$75.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $13.26 / $27.35	Professional		$7.19	$13.26	$27.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $29.83 / $42.62	Facility		$10.07	$29.83	$42.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $19.20 / $29.22	Professional		$10.16	$19.20	$29.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $14.06 / $15.46	Professional		$10.37	$14.06	$15.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $15.30 / $32.79	Facility		$14.57	$15.30	$32.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $21.86 / $40.07	Facility		$14.57	$21.86	$40.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $13.11 / $13.11	Professional		$13.11	$13.11	$13.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $24.04 / $40.07	Facility		$16.76	$24.04	$40.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $14.57 / $39.52	Professional		$10.93	$14.57	$39.52
United Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $6.12 / $14.57	Professional		$6.12	$6.12	$14.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $6.56 / $7.55	Professional		$6.56	$6.56	$7.55