Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.87 / $95.37 / $129.52	Facility		$53.87	$95.37	$129.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $53.87 / $88.90	Professional		$52.61	$53.87	$88.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $42.84 / $237.71	Facility		$37.90	$42.84	$237.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $42.84 / $57.05	Professional		$37.29	$42.84	$57.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.87 / $53.87 / $188.28	Facility		$53.87	$53.87	$188.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $53.87 / $53.87	Professional		$53.87	$53.87	$53.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.61 / $52.61 / $53.88	Facility		$52.61	$52.61	$53.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.81 / $57.05 / $63.39	Professional		$48.81	$57.05	$63.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $42.84 / $53.58	Facility		$30.33	$42.84	$53.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $42.84	Professional		$42.84	$42.84	$42.84
United Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $52.82 / $63.38	Professional		$52.82	$52.82	$63.38