Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $64.34 / $160.56	Facility		$21.00	$64.34	$160.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.53 / $20.14 / $30.67	Professional		$18.53	$20.14	$30.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $15.52 / $15.52	Professional		$13.40	$15.52	$15.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23.46 / $43.56 / $182.22	Facility		$23.46	$43.56	$182.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $20.92 / $54.52	Professional		$11.04	$20.92	$54.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.47 / $45.74 / $236.40	Facility		$15.47	$45.74	$236.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $40.68 / $67.75	Professional		$23.36	$40.68	$67.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $11.30 / $23.70	Professional		$8.22	$11.30	$23.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $25.24 / $60.48	Facility		$22.34	$25.24	$60.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $22.34 / $22.34	Professional		$22.34	$22.34	$22.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $33.51 / $61.44	Facility		$22.34	$33.51	$61.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $20.11 / $20.11	Professional		$20.11	$20.11	$20.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.69 / $36.86 / $61.44	Facility		$25.69	$36.86	$61.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $22.83 / $106.89	Professional		$16.76	$22.83	$106.89
United Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $11.07 / $25.02	Professional		$9.38	$11.07	$25.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $10.05 / $11.57	Professional		$10.05	$10.05	$11.57