Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.71 / $417.21 / $750.66	Facility		$108.71	$417.21	$750.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $107.56 / $108.71	Professional		$60.65	$107.56	$108.71
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 $31.92 / $95.56 / $234.21	Professional		$31.92	$95.56	$234.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.01 / $234.30 / $295.47	Facility		$119.01	$234.30	$295.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $131.75 / $164.68	Professional		$131.75	$131.75	$164.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $114.43 / $160.19	Facility		$114.43	$114.43	$160.19
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 $97.27 / $120.15 / $162.49	Professional		$97.27	$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 $103.66 / $223.77 / $322.81	Professional		$103.66	$223.77	$322.81
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $48.06 / $114.43	Professional		$48.06	$48.06	$114.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $51.49 / $59.27	Professional		$51.49	$51.49	$59.27