Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.56 / $250.56 / $250.56	Facility		$250.56	$250.56	$250.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.30 / $261.25 / $379.76	Professional		$232.30	$261.25	$379.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $5,280.00 / $7,650.00	Facility		$43.32	$5,280.00	$7,650.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $300.39 / $555.02	Professional		$43.89	$300.39	$555.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $61.57 / $102.05	Professional		$61.57	$61.57	$102.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $46.93 / $70.00	Professional		$46.93	$46.93	$70.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $43.32 / $43.32	Facility		$43.32	$43.32	$43.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $483.84 / $523.94	Professional		$38.72	$483.84	$523.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $43.89 / $53.44	Professional		$43.89	$43.89	$53.44
United Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $30.98 / $46.77	Professional		$23.17	$30.98	$46.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $300.39 / $300.39 / $300.39	Professional		$300.39	$300.39	$300.39