Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $37.22 / $121.17	Facility		$20.67	$37.22	$121.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $20.67 / $37.22	Professional		$17.01	$20.67	$37.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $42.66 / $200.11	Facility		$23.09	$42.66	$200.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $20.01 / $41.78	Professional		$10.86	$20.01	$41.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.21 / $39.86 / $64.31	Facility		$15.21	$39.86	$64.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $29.03 / $43.83	Professional		$15.32	$29.03	$43.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $21.21 / $23.33	Professional		$15.65	$21.21	$23.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $21.99 / $48.54	Facility		$21.99	$21.99	$48.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $32.99 / $60.47	Facility		$21.99	$32.99	$60.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $19.79 / $19.79	Professional		$19.79	$19.79	$19.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.29 / $36.09 / $60.47	Facility		$25.29	$36.09	$60.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $21.99 / $59.28	Professional		$16.48	$21.99	$59.28
United Facility/Professional Facility Modifier Low / Median / High Price $14.29 / $20.89 / $21.99	Facility		$14.29	$20.89	$21.99
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $9.24 / $21.99	Professional		$9.24	$9.24	$21.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $9.90 / $11.39	Professional		$9.90	$9.90	$11.39