Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.11 / $119.11 / $368.19	Facility		$25.11	$119.11	$368.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $66.54 / $88.72	Professional		$23.08	$66.54	$88.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $15.27 / $17.68	Professional		$15.27	$15.27	$17.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26.72 / $49.63 / $140.25	Facility		$26.72	$49.63	$140.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $23.16 / $48.00	Professional		$12.57	$23.16	$48.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $49.79 / $74.43	Facility		$17.60	$49.79	$74.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $33.49 / $50.64	Professional		$17.73	$33.49	$50.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $24.55 / $27.00	Professional		$18.12	$24.55	$27.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $26.72 / $59.45	Facility		$25.45	$26.72	$59.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $38.18 / $69.98	Facility		$25.45	$38.18	$69.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.27 / $41.99 / $69.98	Facility		$29.27	$41.99	$69.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $25.45 / $68.26	Professional		$19.09	$25.45	$68.26
United Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $19.20 / $19.20	Facility		$19.20	$19.20	$19.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $10.69 / $25.45	Professional		$10.69	$10.69	$25.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $11.45 / $13.18	Professional		$11.45	$11.45	$13.18