Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.69 / $48.27 / $94.53	Facility		$12.69	$48.27	$94.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $11.93 / $23.04	Professional		$9.27	$11.93	$23.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $9.19 / $24.49	Professional		$3.31	$9.19	$24.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $30.45 / $80.00	Facility		$13.90	$30.45	$80.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $13.24 / $22.85	Professional		$6.54	$13.24	$22.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $27.12 / $56.67	Facility		$9.11	$27.12	$56.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $15.28 / $27.09	Professional		$9.11	$15.28	$27.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $12.77 / $14.04	Professional		$9.42	$12.77	$14.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $13.24 / $29.23	Facility		$13.24	$13.24	$29.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $13.24 / $30.63	Facility		$11.92	$13.24	$30.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $15.33 / $18.80	Professional		$11.92	$15.33	$18.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.23 / $21.85 / $36.40	Facility		$15.23	$21.85	$36.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $13.24 / $35.93	Professional		$9.93	$13.24	$35.93
United Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $5.56 / $13.24	Professional		$5.56	$5.56	$13.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $6.86 / $6.86	Professional		$6.86	$6.86	$6.86