Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.40 / $91.06 / $929.71	Facility		$5.40	$91.06	$929.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $82.27 / $208.80	Professional		$9.30	$82.27	$208.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.63 / $3.63	Professional		$3.13	$3.63	$3.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5.48 / $10.18 / $134.53	Facility		$5.48	$10.18	$134.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $4.88 / $9.92	Professional		$2.58	$4.88	$9.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.61 / $10.68 / $15.79	Facility		$3.61	$10.68	$15.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $6.70 / $10.23	Professional		$3.62	$6.70	$10.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.04 / $5.54	Professional		$3.72	$5.04	$5.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $5.48 / $15.38	Facility		$5.22	$5.48	$15.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $7.83 / $14.35	Facility		$5.22	$7.83	$14.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $4.70 / $4.70	Professional		$4.70	$4.70	$4.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $8.61 / $14.36	Facility		$6.00	$8.61	$14.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $5.22 / $14.37	Professional		$3.92	$5.22	$14.37
United Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.35 / $5.22	Professional		$2.19	$2.35	$5.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $2.35 / $2.70	Professional		$2.35	$2.35	$2.70