Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.17 / $125.30 / $433.36	Facility		$48.17	$125.30	$433.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $47.34 / $73.93	Professional		$39.32	$47.34	$73.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $78.65 / $141.57 / $373.59	Facility		$78.65	$141.57	$373.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $58.99 / $149.44	Professional		$31.46	$58.99	$149.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.39 / $115.53 / $203.07	Facility		$27.39	$115.53	$203.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $80.73 / $113.06	Professional		$41.54	$80.73	$113.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $75.87 / $83.45	Professional		$56.00	$75.87	$83.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.65 / $78.65 / $173.62	Facility		$78.65	$78.65	$173.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $117.98 / $216.29	Facility		$70.79	$117.98	$216.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $82.58 / $129.06 / $216.29	Facility		$82.58	$129.06	$216.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $78.65 / $211.98	Professional		$50.45	$78.65	$211.98
United Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $33.03 / $78.65	Professional		$22.68	$33.03	$78.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $35.39 / $40.74	Professional		$35.39	$35.39	$40.74