Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.92 / $650.83 / $1,163.35	Facility		$19.92	$650.83	$1,163.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $19.92 / $691.41	Professional		$18.10	$19.92	$691.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $26.99 / $52.17	Facility		$17.32	$26.99	$52.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.39 / $22.37	Professional		$18.11	$18.39	$22.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $17.07 / $42.20	Facility		$17.07	$17.07	$42.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $22.21	Professional		$18.11	$18.11	$22.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.03 / $22.54 / $37.67	Facility		$18.03	$22.54	$37.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.59 / $27.72 / $48.51	Facility		$15.59	$27.72	$48.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $18.88 / $21.31	Professional		$17.07	$18.88	$21.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.18 / $21.59 / $40.04	Facility		$17.18	$21.59	$40.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Professional		$18.11	$18.11	$18.11
United Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Professional		$18.11	$18.11	$18.11