Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.09 / $40.06 / $92.62	Facility		$16.09	$40.06	$92.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $15.21 / $16.09	Professional		$11.13	$15.21	$16.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $11.89	Professional		$11.89	$11.89	$11.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $33.38 / $81.39	Facility		$17.98	$33.38	$81.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $15.58 / $32.53	Professional		$8.46	$15.58	$32.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.86 / $35.06 / $50.09	Facility		$11.86	$35.06	$50.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $22.77 / $34.09	Professional		$11.88	$22.77	$34.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $16.52 / $18.17	Professional		$12.19	$16.52	$18.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $18.82 / $37.79	Facility		$17.12	$18.82	$37.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $25.68 / $47.08	Facility		$17.12	$25.68	$47.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $15.41 / $15.41	Professional		$15.41	$15.41	$15.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.69 / $28.25 / $47.08	Facility		$19.69	$28.25	$47.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $17.12 / $45.81	Professional		$12.84	$17.12	$45.81
United Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $7.19 / $17.12	Professional		$7.19	$7.19	$17.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $7.70 / $8.86	Professional		$7.70	$7.70	$8.86