Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $109.91 / $168.27	Professional		$85.79	$109.91	$168.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $138.62 / $538.49 / $538.49	Facility		$138.62	$538.49	$538.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $79.51 / $165.10 / $258.50	Professional		$79.51	$165.10	$258.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.04 / $94.04 / $116.25	Professional		$94.04	$94.04	$116.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $181.79 / $296.35	Professional		$26.86	$181.79	$296.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.77 / $201.67 / $210.38	Facility		$147.77	$201.67	$210.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.62 / $138.62 / $143.50	Facility		$138.62	$138.62	$143.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $239.36 / $270.11	Professional		$142.72	$239.36	$270.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $252.17 / $252.17 / $252.17	Professional		$252.17	$252.17	$252.17
United Facility/Professional Professional Modifier Low / Median / High Price $135.90 / $178.18 / $290.82	Professional		$135.90	$178.18	$290.82