Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.65 / $101.45 / $165.13	Facility		$82.65	$101.45	$165.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $87.18 / $96.06	Professional		$79.26	$87.18	$96.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $74.62 / $92.86 / $180.59	Facility		$74.62	$92.86	$180.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $81.50 / $91.47	Professional		$79.26	$81.50	$91.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.77 / $74.77 / $153.90	Facility		$74.77	$74.77	$153.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $97.20	Professional		$79.26	$79.26	$97.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $99.08 / $165.13	Facility		$79.26	$99.08	$165.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.42 / $119.40 / $208.95	Facility		$66.42	$119.40	$208.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.68 / $83.69 / $88.80	Professional		$75.68	$83.69	$88.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $74.29 / $87.19 / $154.50	Facility		$74.29	$87.19	$154.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $79.26	Professional		$79.26	$79.26	$79.26
United Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $79.20 / $79.20	Facility		$79.20	$79.20	$79.20
United Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $79.26	Professional		$79.26	$79.26	$79.26