Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $95.90 / $130.22	Facility		$54.55	$95.90	$130.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $54.55 / $63.92	Professional		$53.27	$54.55	$63.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $59.81 / $89.72 / $185.41	Facility		$59.81	$89.72	$185.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $64.18 / $98.68	Professional		$54.55	$64.18	$98.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $54.55 / $217.68	Facility		$54.55	$54.55	$217.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Professional		$54.55	$54.55	$54.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.15 / $79,999.20 / $79,999.20	Facility		$66.15	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.84 / $59.81 / $136.96	Facility		$50.84	$59.81	$136.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $57.76 / $64.18	Professional		$49.42	$57.76	$64.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $59.81 / $74.76 / $133.16	Facility		$59.81	$74.76	$133.16
United Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $64.18	Professional		$56.42	$56.42	$64.18