Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $60.66 / $149.49	Facility		$19.11	$60.66	$149.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $12.82 / $24.04	Professional		$7.79	$12.82	$24.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $10.21 / $27.20	Professional		$8.82	$10.21	$27.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.44 / $30.02 / $100.00	Facility		$15.44	$30.02	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $13.38 / $25.35	Professional		$7.26	$13.38	$25.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.18 / $30.11 / $43.02	Facility		$10.18	$30.11	$43.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $19.20 / $29.22	Professional		$10.16	$19.20	$29.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $14.18 / $15.59	Professional		$10.46	$14.18	$15.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $16.17 / $36.90	Facility		$14.70	$16.17	$36.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $22.05 / $40.43	Facility		$14.70	$22.05	$40.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $13.23 / $13.23	Professional		$13.23	$13.23	$13.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $24.26 / $40.43	Facility		$16.91	$24.26	$40.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $14.70 / $39.52	Professional		$11.03	$14.70	$39.52
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.62 / $17.64	Professional		$6.17	$6.62	$17.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $6.62 / $7.61	Professional		$6.62	$6.62	$7.61