Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $57.29 / $89.95	Professional		$43.90	$57.29	$89.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $70.22 / $275.83 / $275.83	Facility		$70.22	$275.83	$275.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $88.70 / $130.09	Professional		$40.56	$88.70	$130.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $47.91 / $60.00	Professional		$47.91	$47.91	$60.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $119.15 / $197.99	Professional		$18.01	$119.15	$197.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $73.64 / $100.88 / $107.87	Facility		$73.64	$100.88	$107.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.22 / $70.22 / $73.58	Facility		$70.22	$70.22	$73.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $122.37 / $135.50	Professional		$71.83	$122.37	$135.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $126.50 / $126.50 / $126.50	Professional		$126.50	$126.50	$126.50
United Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $92.99 / $148.22	Professional		$67.48	$92.99	$148.22