Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $57.30 / $191.27	Facility		$18.39	$57.30	$191.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $15.77 / $34.47	Professional		$11.78	$15.77	$34.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $11.04	Professional		$11.04	$11.04	$11.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $32.20 / $105.37	Facility		$19.32	$32.20	$105.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $15.57 / $30.02	Professional		$7.36	$15.57	$30.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $37.67 / $646.87	Facility		$9.35	$37.67	$646.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $21.06 / $26.78	Professional		$9.69	$21.06	$26.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $17.75 / $19.52	Professional		$13.10	$17.75	$19.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $19.32 / $40.61	Facility		$18.39	$19.32	$40.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $27.60 / $50.60	Facility		$18.39	$27.60	$50.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $16.55 / $16.55	Professional		$16.55	$16.55	$16.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.16 / $30.19 / $50.60	Facility		$21.16	$30.19	$50.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.39 / $49.40	Professional		$13.80	$18.39	$49.40
United Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $7.73 / $18.39	Professional		$7.73	$7.73	$18.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $8.27 / $9.52	Professional		$8.27	$8.27	$9.52