Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.68 / $146.78 / $216.62	Facility		$78.68	$146.78	$216.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $78.68 / $131.66	Professional		$71.52	$78.68	$131.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $86.12 / $407.85	Facility		$71.52	$86.12	$407.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $79.22 / $114.00	Professional		$71.52	$79.22	$114.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.47 / $67.47 / $147.91	Facility		$67.47	$67.47	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $87.72	Professional		$71.52	$71.52	$87.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $89.40 / $214.56	Facility		$71.52	$89.40	$214.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $94.62 / $94.62	Facility		$86.12	$94.62	$94.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $84.05 / $114.00	Professional		$71.65	$84.05	$114.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $71.52 / $207.12	Facility		$71.52	$71.52	$207.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Professional		$71.52	$71.52	$71.52
United Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Professional		$71.52	$71.52	$71.52