Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.43 / $195.83 / $323.11	Facility		$140.43	$195.83	$323.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.80 / $208.29 / $576.00	Professional		$168.80	$208.29	$576.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $207.35 / $219.45 / $783.90	Facility		$207.35	$219.45	$783.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $207.35 / $207.35 / $230.42	Professional		$207.35	$207.35	$230.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.17 / $215.17 / $546.64	Facility		$215.17	$215.17	$546.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.17 / $215.17 / $215.17	Professional		$215.17	$215.17	$215.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $173.57 / $433.92	Professional		$2.67	$173.57	$433.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $103.40 / $124.20 / $125.96	Facility		$103.40	$124.20	$125.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.45 / $219.45 / $219.45	Facility		$219.45	$219.45	$219.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.75 / $208.48 / $230.42	Professional		$177.75	$208.48	$230.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $207.35 / $207.35 / $207.35	Facility		$207.35	$207.35	$207.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $207.35 / $207.35 / $207.35	Professional		$207.35	$207.35	$207.35
United Facility/Professional Professional Modifier Low / Median / High Price $192.12 / $217.10 / $230.54	Professional		$192.12	$217.10	$230.54