Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.82 / $143.91 / $296.20	Facility		$90.82	$143.91	$296.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $103.56 / $285.00	Professional		$82.57	$103.56	$285.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $82.58 / $88.08 / $368.04	Facility		$82.58	$88.08	$368.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $88.08 / $99.40	Professional		$82.58	$88.08	$99.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.90 / $77.90 / $154.32	Facility		$77.90	$77.90	$154.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $82.57 / $101.27	Professional		$82.57	$82.57	$101.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $82.42 / $95.04 / $247.74	Facility		$82.42	$95.04	$247.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.50 / $82.50 / $88.08	Facility		$82.50	$82.50	$88.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $90.44 / $99.40	Professional		$81.79	$90.44	$99.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $82.58 / $82.58 / $101.20	Facility		$82.58	$82.58	$101.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $82.58 / $82.58	Professional		$82.58	$82.58	$82.58
United Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $82.58 / $82.58	Professional		$82.58	$82.58	$82.58