Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $52.47 / $119.07	Facility		$13.53	$52.47	$119.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $13.05 / $25.12	Professional		$9.35	$13.05	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $8.63 / $9.99	Professional		$8.63	$8.63	$9.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $27.92 / $77.77	Facility		$15.11	$27.92	$77.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $12.95 / $24.85	Professional		$7.11	$12.95	$24.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $29.45 / $103.22	Facility		$9.94	$29.45	$103.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $18.76 / $28.73	Professional		$9.99	$18.76	$28.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $13.88 / $15.26	Professional		$10.24	$13.88	$15.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $15.83 / $31.77	Facility		$14.39	$15.83	$31.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $21.59 / $39.57	Facility		$14.39	$21.59	$39.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $12.95 / $12.95	Professional		$12.95	$12.95	$12.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $23.61 / $39.57	Facility		$16.55	$23.61	$39.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $14.39 / $38.61	Professional		$10.79	$14.39	$38.61
United Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $6.04 / $14.39	Professional		$6.04	$6.04	$14.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $6.48 / $7.45	Professional		$6.48	$6.48	$7.45