Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.79 / $51.03 / $72.73	Facility		$27.79	$51.03	$72.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $27.79 / $43.74	Professional		$25.27	$27.79	$43.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $35.94 / $134.55	Facility		$25.27	$35.94	$134.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $33.06 / $41.69	Professional		$25.27	$33.06	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $23.84 / $58.08	Facility		$23.84	$23.84	$58.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $30.99	Professional		$25.27	$25.27	$30.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $31.59 / $75.81	Facility		$25.27	$31.59	$75.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.94 / $41.34 / $41.34	Facility		$35.94	$41.34	$41.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $33.06 / $49.81	Professional		$29.90	$33.06	$49.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $25.27 / $25.27	Facility		$25.27	$25.27	$25.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $25.27	Professional		$25.27	$25.27	$25.27
United Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $68.23 / $68.23	Facility		$68.23	$68.23	$68.23
United Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $30.32	Professional		$25.27	$25.27	$30.32