Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $62.97 / $113.29	Facility		$16.23	$62.97	$113.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $16.23 / $16.23	Professional		$9.15	$16.23	$16.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.13 / $28.34 / $82.03	Facility		$18.13	$28.34	$82.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $14.68 / $24.52	Professional		$5.92	$14.68	$24.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.97 / $35.36 / $44.61	Facility		$17.97	$35.36	$44.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $19.82 / $24.78	Professional		$19.82	$19.82	$24.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $17.27 / $24.18	Facility		$17.27	$17.27	$24.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $25.91 / $47.49	Facility		$17.27	$25.91	$47.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $18.13 / $24.52	Professional		$14.68	$18.13	$24.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.13 / $28.34 / $47.49	Facility		$18.13	$28.34	$47.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $17.27 / $46.71	Professional		$12.95	$17.27	$46.71
United Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $20.72 / $20.72	Facility		$17.27	$20.72	$20.72
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $17.27	Professional		$7.25	$7.25	$17.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $7.77 / $8.94	Professional		$7.77	$7.77	$8.94