Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $45.00 / $93.75	Facility		$18.79	$45.00	$93.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.67 / $14.45	Professional		$11.22	$11.67	$14.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $8.67 / $8.67	Professional		$8.67	$8.67	$8.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $29.78 / $100.00	Facility		$15.17	$29.78	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $13.01 / $23.22	Professional		$6.36	$13.01	$23.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $23.29 / $41.32	Facility		$8.91	$23.29	$41.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $18.32 / $25.81	Professional		$8.94	$18.32	$25.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $13.94 / $15.33	Professional		$10.28	$13.94	$15.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $15.17 / $31.90	Facility		$14.45	$15.17	$31.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $21.67 / $39.74	Facility		$14.45	$21.67	$39.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $13.01 / $13.01	Professional		$13.01	$13.01	$13.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $23.71 / $39.74	Facility		$16.62	$23.71	$39.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $14.45 / $38.61	Professional		$10.84	$14.45	$38.61
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.34 / $17.34	Facility		$14.45	$17.34	$17.34
United Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $6.07 / $16.18	Professional		$6.07	$6.07	$16.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $6.50 / $7.49	Professional		$6.50	$6.50	$7.49