Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.44 / $48.70 / $60.59	Facility		$30.44	$48.70	$60.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $30.44 / $33.47	Professional		$30.44	$30.44	$33.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $293.74 / $757.05	Facility		$32.22	$293.74	$757.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $37.60	Professional		$32.22	$32.22	$37.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.42 / $33.42 / $129.68	Facility		$33.42	$33.42	$129.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $33.42 / $33.42	Professional		$33.42	$33.42	$33.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.34 / $90.50 / $91.79	Facility		$75.34	$90.50	$91.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.81 / $35.81 / $35.81	Facility		$35.81	$35.81	$35.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $34.02 / $37.60	Professional		$29.01	$34.02	$37.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $32.22 / $293.74	Facility		$32.22	$32.22	$293.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $32.22	Professional		$32.22	$32.22	$32.22
United Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $34.74 / $36.89	Professional		$30.74	$34.74	$36.89