Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.53 / $73.78 / $250.54	Facility		$43.53	$73.78	$250.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $33.47 / $46.31	Professional		$28.86	$33.47	$46.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $27.79 / $28.94	Professional		$27.79	$27.79	$28.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $48.63 / $81.04 / $219.97	Facility		$48.63	$81.04	$219.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $39.14 / $83.95	Professional		$18.52	$39.14	$83.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $68.03 / $120.40	Facility		$23.49	$68.03	$120.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $53.28 / $67.69	Professional		$24.41	$53.28	$67.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $35.74 / $46.31	Professional		$32.97	$35.74	$46.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.31 / $46.31 / $102.23	Facility		$46.31	$46.31	$102.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.31 / $69.47 / $127.35	Facility		$46.31	$69.47	$127.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $41.68 / $41.68	Professional		$41.68	$41.68	$41.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $53.26 / $75.98 / $127.35	Facility		$53.26	$75.98	$127.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $46.31 / $124.85	Professional		$34.72	$46.31	$124.85
United Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $19.45 / $47.43	Professional		$19.45	$19.45	$47.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $20.84 / $23.99	Professional		$20.84	$20.84	$23.99