Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $71.93 / $144.47	Facility		$17.93	$71.93	$144.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $16.66 / $37.04	Professional		$12.96	$16.66	$37.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $12.86 / $34.26	Professional		$11.11	$12.86	$34.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.45 / $50.93 / $100.00	Facility		$19.45	$50.93	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $16.85 / $31.95	Professional		$9.14	$16.85	$31.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.82 / $37.25 / $54.18	Facility		$12.82	$37.25	$54.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $23.87 / $37.01	Professional		$12.91	$23.87	$37.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.87 / $19.65	Professional		$13.18	$17.87	$19.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $19.45 / $40.88	Facility		$18.52	$19.45	$40.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $18.52 / $18.52	Facility		$16.67	$18.52	$18.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $16.67 / $16.67	Professional		$16.67	$16.67	$16.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.30 / $30.56 / $50.93	Facility		$21.30	$30.56	$50.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $18.52 / $50.30	Professional		$13.89	$18.52	$50.30
United Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $9.18 / $20.74	Professional		$7.78	$9.18	$20.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $9.59 / $9.59	Professional		$9.59	$9.59	$9.59