Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.66 / $43.49 / $150.41	Facility		$25.66	$43.49	$150.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $25.66 / $36.78	Professional		$19.73	$25.66	$36.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $28.67 / $49.14 / $129.68	Facility		$28.67	$49.14	$129.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $20.48 / $44.18	Professional		$10.92	$20.48	$44.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $40.11 / $70.51	Facility		$11.90	$40.11	$70.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $31.39 / $39.24	Professional		$14.37	$31.39	$39.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $26.34 / $28.97	Professional		$19.44	$26.34	$28.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $28.67 / $60.26	Facility		$27.30	$28.67	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $40.95 / $75.08	Facility		$27.30	$40.95	$75.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $24.57 / $24.57	Professional		$24.57	$24.57	$24.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.73 / $44.80 / $75.08	Facility		$30.73	$44.80	$75.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $27.30 / $73.65	Professional		$20.48	$27.30	$73.65
United Facility/Professional Facility Modifier Low / Median / High Price $12.97 / $12.97 / $12.97	Facility		$12.97	$12.97	$12.97
United Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $11.47 / $27.30	Professional		$9.93	$11.47	$27.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $12.29 / $14.14	Professional		$12.29	$12.29	$14.14