Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $62.05 / $140.40	Facility		$17.10	$62.05	$140.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $16.41 / $31.08	Professional		$15.16	$16.41	$31.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $12.38 / $12.38	Professional		$10.70	$12.38	$12.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.72 / $35.65 / $159.84	Facility		$18.72	$35.65	$159.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $16.76 / $48.51	Professional		$8.80	$16.76	$48.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $36.51 / $57.08	Facility		$12.34	$36.51	$57.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $36.15 / $58.50	Professional		$20.45	$36.15	$58.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $11.30 / $18.92	Professional		$8.22	$11.30	$18.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $20.14 / $39.36	Facility		$17.82	$20.14	$39.36
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $17.82 / $19.61	Professional		$17.82	$17.82	$19.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $26.74 / $49.03	Facility		$17.82	$26.74	$49.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $16.05 / $16.05	Professional		$16.05	$16.05	$16.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $29.42 / $49.03	Facility		$20.50	$29.42	$49.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $18.22 / $95.21	Professional		$13.37	$18.22	$95.21
United Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $7.49 / $17.82	Professional		$7.49	$7.49	$17.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $8.02 / $9.24	Professional		$8.02	$8.02	$9.24