Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $31.70 / $78.59	Facility		$12.38	$31.70	$78.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $11.26 / $32.01	Professional		$9.58	$11.26	$32.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $23.36 / $192.84	Facility		$12.58	$23.36	$192.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $10.78 / $22.76	Professional		$5.92	$10.78	$22.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $24.54 / $37.64	Facility		$8.28	$24.54	$37.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $15.44 / $23.86	Professional		$8.26	$15.44	$23.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $11.56 / $12.71	Professional		$8.52	$11.56	$12.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $12.58 / $30.75	Facility		$11.98	$12.58	$30.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $17.97 / $32.95	Facility		$11.98	$17.97	$32.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $10.78 / $10.78	Professional		$10.78	$10.78	$10.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.78 / $19.77 / $32.95	Facility		$13.78	$19.77	$32.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $11.98 / $32.34	Professional		$8.99	$11.98	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $5.03 / $11.98	Professional		$5.03	$5.03	$11.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $5.39 / $6.21	Professional		$5.39	$5.39	$6.21