Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $47.96 / $112.58	Facility		$20.81	$47.96	$112.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $19.16 / $20.81	Professional		$11.02	$19.16	$20.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $14.46 / $14.46	Professional		$14.46	$14.46	$14.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $42.48 / $100.00	Facility		$21.85	$42.48	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $20.81 / $34.70	Professional		$10.28	$20.81	$34.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $42.62 / $102.82	Facility		$14.34	$42.62	$102.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $27.24 / $42.59	Professional		$14.46	$27.24	$42.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $16.06 / $20.81	Professional		$14.81	$16.06	$20.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $21.85 / $45.94	Facility		$20.81	$21.85	$45.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $31.21 / $57.23	Facility		$20.81	$31.21	$57.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $24.10 / $29.55	Professional		$18.73	$24.10	$29.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $34.34 / $57.23	Facility		$23.93	$34.34	$57.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $20.81 / $56.59	Professional		$15.61	$20.81	$56.59
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $8.74 / $20.81	Professional		$8.74	$8.74	$20.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.36 / $10.78	Professional		$9.36	$9.36	$10.78