Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.70 / $65.67 / $125.50	Facility		$60.70	$65.67	$125.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $65.67 / $119.02	Professional		$65.67	$65.67	$119.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $91.96 / $119.75 / $220.71	Facility		$91.96	$119.75	$220.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $77.26 / $108.99	Professional		$73.40	$77.26	$108.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.25 / $72.25 / $210.28	Facility		$72.25	$72.25	$210.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Professional		$72.25	$72.25	$72.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.76 / $73.40 / $159.40	Professional		$63.76	$73.40	$159.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $73.40 / $73.40	Facility		$25.00	$73.40	$73.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $139.07 / $212.47	Facility		$96.58	$139.07	$212.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.58 / $73.40 / $81.12	Professional		$62.58	$73.40	$81.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $91.96 / $110.36 / $209.67	Facility		$91.96	$110.36	$209.67
United Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $77.26 / $88.08	Professional		$73.40	$77.26	$88.08