Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $40.60 / $104.53	Facility		$18.18	$40.60	$104.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $16.95 / $32.97	Professional		$14.03	$16.95	$32.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $13.18 / $13.18	Professional		$11.12	$13.18	$13.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.92 / $37.94 / $100.00	Facility		$19.92	$37.94	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $17.26 / $32.75	Professional		$9.36	$17.26	$32.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $33.20 / $55.49	Facility		$13.13	$33.20	$55.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $25.01 / $37.97	Professional		$13.26	$25.01	$37.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $18.30 / $20.13	Professional		$13.50	$18.30	$20.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.97 / $19.92 / $45.10	Facility		$18.97	$19.92	$45.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.97 / $28.46 / $52.17	Facility		$18.97	$28.46	$52.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $17.07 / $17.07	Professional		$17.07	$17.07	$17.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.82 / $31.13 / $52.17	Facility		$21.82	$31.13	$52.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $18.97 / $51.20	Professional		$14.23	$18.97	$51.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $8.52 / $18.97	Professional		$7.97	$8.52	$18.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $8.53 / $9.83	Professional		$8.53	$8.53	$9.83