Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.96 / $134.40 / $799.01	Facility		$53.96	$134.40	$799.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $54.95 / $109.73	Professional		$49.95	$54.95	$109.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $32.83 / $49.95 / $273.30	Facility		$32.83	$49.95	$273.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $49.95 / $49.95	Professional		$39.56	$49.95	$49.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $47.12 / $107.64	Facility		$47.12	$47.12	$107.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $61.26	Professional		$49.95	$49.95	$61.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $71.15 / $139.47	Facility		$49.95	$71.15	$139.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.83 / $32.83 / $43.03	Facility		$32.83	$32.83	$43.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $43.03 / $46.87	Professional		$39.56	$43.03	$46.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $49.95 / $147.88	Facility		$49.95	$49.95	$147.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Professional		$49.95	$49.95	$49.95
United Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Professional		$49.95	$49.95	$49.95