Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.41 / $226.56 / $407.64	Facility		$58.41	$226.56	$407.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $58.41 / $58.41	Professional		$32.93	$58.41	$58.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $65.25 / $101.97 / $295.17	Facility		$65.25	$101.97	$295.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $55.93 / $121.16	Professional		$37.59	$55.93	$121.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $127.23 / $160.44	Facility		$64.62	$127.23	$160.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $71.45 / $89.31	Professional		$71.45	$71.45	$89.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.93 / $68.34 / $108.75	Facility		$55.93	$68.34	$108.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $93.21 / $170.89	Facility		$62.14	$93.21	$170.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $65.25 / $88.24	Professional		$52.82	$65.25	$88.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $65.25 / $101.97 / $170.89	Facility		$65.25	$101.97	$170.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $62.14 / $167.96	Professional		$46.61	$62.14	$167.96
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $26.10 / $62.14	Professional		$26.10	$26.10	$62.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $27.96 / $32.19	Professional		$27.96	$27.96	$32.19