Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.85 / $304.88 / $855.23	Facility		$215.85	$304.88	$855.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.00 / $344.18 / $818.40	Professional		$284.00	$344.18	$818.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $372.40 / $533.07 / $893.76	Facility		$372.40	$533.07	$893.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $296.43 / $296.43 / $329.46	Professional		$296.43	$296.43	$329.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $307.55 / $615.10	Facility		$307.55	$307.55	$615.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $307.55 / $307.55	Professional		$307.55	$307.55	$307.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $298.04 / $324.70 / $591.38	Facility		$298.04	$324.70	$591.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.76 / $548.29 / $837.68	Facility		$380.76	$548.29	$837.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.15 / $298.08 / $329.46	Professional		$254.15	$298.08	$329.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $372.40 / $446.88 / $849.07	Facility		$372.40	$446.88	$849.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $296.43 / $296.43 / $296.43	Professional		$296.43	$296.43	$296.43
United Facility/Professional Professional Modifier Low / Median / High Price $274.60 / $310.30 / $334.54	Professional		$274.60	$310.30	$334.54