Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $65.44 / $167.53	Facility		$16.54	$65.44	$167.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $14.93 / $25.15	Professional		$12.58	$14.93	$25.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $11.65 / $11.65	Professional		$10.06	$11.65	$11.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.61 / $32.70 / $80.19	Facility		$17.61	$32.70	$80.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $15.26 / $28.95	Professional		$8.27	$15.26	$28.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $34.34 / $49.05	Facility		$11.61	$34.34	$49.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $21.88 / $33.60	Professional		$11.71	$21.88	$33.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $16.18 / $17.79	Professional		$11.94	$16.18	$17.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $17.61 / $37.02	Facility		$16.77	$17.61	$37.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $25.16 / $46.12	Facility		$16.77	$25.16	$46.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.09 / $15.09	Professional		$15.09	$15.09	$15.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $27.67 / $46.12	Facility		$19.29	$27.67	$46.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $16.77 / $44.91	Professional		$12.58	$16.77	$44.91
United Facility/Professional Facility Modifier Low / Median / High Price $10.90 / $15.93 / $16.77	Facility		$10.90	$15.93	$16.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $7.55 / $16.77	Professional		$7.04	$7.55	$16.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $7.55 / $8.69	Professional		$7.55	$7.55	$8.69