Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.31 / $107.88 / $260.47	Facility		$38.31	$107.88	$260.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $35.43 / $69.14	Professional		$26.49	$35.43	$69.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $24.45 / $24.45	Professional		$24.45	$24.45	$24.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $42.79 / $79.45 / $194.61	Facility		$42.79	$79.45	$194.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $36.68 / $70.30	Professional		$20.12	$36.68	$70.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.22 / $65.70 / $119.21	Facility		$28.22	$65.70	$119.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $53.59 / $81.31	Professional		$28.41	$53.59	$81.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $39.31 / $43.24	Professional		$29.01	$39.31	$43.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $44.83 / $89.96	Facility		$40.75	$44.83	$89.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $61.13 / $112.06	Facility		$40.75	$61.13	$112.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $36.68 / $36.68	Professional		$36.68	$36.68	$36.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $67.23 / $112.06	Facility		$46.86	$67.23	$112.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $40.75 / $109.58	Professional		$30.56	$40.75	$109.58
United Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $20.43 / $45.64	Professional		$17.12	$20.43	$45.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $18.34 / $21.11	Professional		$18.34	$18.34	$21.11