Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.29 / $113.88 / $197.84	Facility		$36.29	$113.88	$197.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.10 / $32.60 / $54.12	Professional		$31.10	$32.60	$54.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $21.94 / $25.39	Professional		$21.94	$21.94	$25.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $84.11 / $231.00	Facility		$38.40	$84.11	$231.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $32.90 / $63.10	Professional		$18.05	$32.90	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.31 / $66.31 / $106.97	Facility		$25.31	$66.31	$106.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $47.39 / $73.04	Professional		$25.48	$47.39	$73.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $35.28 / $38.80	Professional		$26.04	$35.28	$38.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.57 / $40.22 / $90.20	Facility		$36.57	$40.22	$90.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.57 / $54.86 / $100.57	Facility		$36.57	$54.86	$100.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $32.90 / $32.90	Professional		$32.90	$32.90	$32.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.06 / $60.34 / $100.57	Facility		$42.06	$60.34	$100.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $36.57 / $98.80	Professional		$27.43	$36.57	$98.80
United Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $15.36 / $36.57	Professional		$15.36	$15.36	$36.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $16.46 / $18.94	Professional		$16.46	$16.46	$18.94