Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $226.80 / $619.07	Facility		$60.00	$226.80	$619.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $74.38 / $105.89	Professional		$35.54	$74.38	$105.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $39.72 / $68.66	Professional		$39.72	$39.72	$68.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $120.15 / $187.78 / $543.54	Facility		$120.15	$187.78	$543.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $42.94 / $87.88 / $168.08	Professional		$42.94	$87.88	$168.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.72 / $168.10 / $297.52	Facility		$39.72	$168.10	$297.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $60.16 / $149.53	Professional		$60.16	$60.16	$149.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.47 / $110.39 / $121.42	Professional		$81.47	$110.39	$121.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $114.43 / $171.65	Facility		$114.43	$114.43	$171.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $171.65 / $314.68	Facility		$114.43	$171.65	$314.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $120.15 / $162.49	Professional		$67.95	$120.15	$162.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.15 / $187.78 / $314.68	Facility		$120.15	$187.78	$314.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.94 / $114.43 / $308.98	Professional		$79.94	$114.43	$308.98
United Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $48.06 / $114.43	Professional		$33.57	$48.06	$114.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.27 / $59.27 / $59.27	Professional		$59.27	$59.27	$59.27