Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.34 / $234.04 / $421.09	Facility		$60.34	$234.04	$421.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.02 / $60.34 / $60.34	Professional		$34.02	$60.34	$60.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $67.40 / $105.34 / $304.89	Facility		$67.40	$105.34	$304.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $57.77 / $125.14	Professional		$6.91	$57.77	$125.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.75 / $131.41 / $165.73	Facility		$66.75	$131.41	$165.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $73.51 / $91.89	Professional		$73.51	$73.51	$91.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.19 / $64.19 / $89.87	Facility		$64.19	$64.19	$89.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.19 / $96.29 / $176.52	Facility		$64.19	$96.29	$176.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $67.40 / $91.15	Professional		$54.56	$67.40	$91.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67.40 / $105.34 / $176.52	Facility		$67.40	$105.34	$176.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.14 / $64.19 / $173.35	Professional		$48.14	$64.19	$173.35
United Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $26.96 / $64.19	Professional		$26.96	$26.96	$64.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $28.89 / $33.25	Professional		$28.89	$28.89	$33.25