Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.52 / $88.22 / $122.57	Facility		$48.52	$88.22	$122.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $48.52 / $2,458.69	Professional		$44.10	$48.52	$2,458.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $53.94 / $104.45	Facility		$44.11	$53.94	$104.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $47.52 / $72.78	Professional		$44.11	$47.52	$72.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.61 / $41.61 / $106.22	Facility		$41.61	$41.61	$106.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $54.10	Professional		$44.11	$44.11	$54.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $55.14 / $92.35	Facility		$44.11	$55.14	$92.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.85 / $69.06 / $120.86	Facility		$38.85	$69.06	$120.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $47.52 / $70.20	Professional		$42.97	$47.52	$70.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.73 / $48.52 / $87.46	Facility		$43.73	$48.52	$87.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $44.11	Professional		$44.11	$44.11	$44.11
United Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $44.11	Professional		$44.11	$44.11	$44.11