Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.55 / $137.84 / $354.90	Facility		$60.55	$137.84	$354.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $60.55 / $95.33	Professional		$34.14	$60.55	$95.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $67.63 / $116.79 / $307.83	Facility		$67.63	$116.79	$307.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $64.41 / $104.78	Professional		$31.81	$64.41	$104.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $116.82 / $188.42	Facility		$46.60	$116.82	$188.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $79.09 / $158.75	Professional		$44.76	$79.09	$158.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $67.63 / $142.19	Facility		$64.41	$67.63	$142.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $96.62 / $177.13	Facility		$64.41	$96.62	$177.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $74.58 / $91.46	Professional		$57.97	$74.58	$91.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $74.06 / $106.28 / $177.13	Facility		$74.06	$106.28	$177.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $64.41 / $173.35	Professional		$48.31	$64.41	$173.35
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $27.05 / $72.14	Professional		$27.05	$27.05	$72.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $28.98 / $33.36	Professional		$28.98	$28.98	$33.36