Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $54.47 / $184.97	Facility		$32.14	$54.47	$184.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $28.60 / $56.22	Professional		$26.82	$28.60	$56.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $21.91	Professional		$20.51	$20.51	$21.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $35.06 / $61.54 / $162.40	Facility		$35.06	$61.54	$162.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $30.77 / $55.50	Professional		$15.58	$30.77	$55.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.84 / $57.22 / $99.99	Facility		$21.84	$57.22	$99.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $39.24 / $62.82	Professional		$21.86	$39.24	$62.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $32.97 / $36.27	Professional		$24.34	$32.97	$36.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $35.90 / $90.20	Facility		$34.19	$35.90	$90.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $51.29 / $94.02	Facility		$34.19	$51.29	$94.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $30.77 / $30.77	Professional		$30.77	$30.77	$30.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $56.11 / $94.02	Facility		$35.90	$56.11	$94.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $34.19 / $92.51	Professional		$25.64	$34.19	$92.51
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $14.36 / $34.19	Professional		$14.36	$14.36	$34.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $15.39 / $17.71	Professional		$15.39	$15.39	$17.71