Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $27.67 / $85.75	Facility		$11.29	$27.67	$85.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $30.63 / $32.67	Professional		$10.47	$30.63	$32.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $7.21 / $7.21	Professional		$7.21	$7.21	$7.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12.61 / $27.62 / $78.00	Facility		$12.61	$27.62	$78.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $10.93 / $22.82	Professional		$5.93	$10.93	$22.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $19.37 / $35.15	Facility		$8.10	$19.37	$35.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $15.63 / $23.86	Professional		$8.26	$15.63	$23.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $11.59 / $12.74	Professional		$8.55	$11.59	$12.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.01 / $12.61 / $26.51	Facility		$12.01	$12.61	$26.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.01 / $18.02 / $33.03	Facility		$12.01	$18.02	$33.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $10.81 / $10.81	Professional		$10.81	$10.81	$10.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $19.82 / $33.03	Facility		$13.81	$19.82	$33.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $12.01 / $32.34	Professional		$9.01	$12.01	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $5.40 / $13.45	Professional		$5.04	$5.40	$13.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $5.40 / $6.22	Professional		$5.40	$5.40	$6.22