Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.90 / $307.20 / $513.54	Professional		$201.90	$307.20	$513.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $565.59 / $1,886.84 / $2,028.80	Facility		$565.59	$1,886.84	$2,028.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $102.92 / $332.22 / $769.41	Professional		$102.92	$332.22	$769.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.77 / $330.77 / $396.27	Facility		$330.77	$330.77	$396.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.14 / $330.77 / $439.99	Professional		$281.14	$330.77	$439.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $586.29 / $704.22 / $959.93	Facility		$586.29	$704.22	$959.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $586.29 / $704.22 / $714.22	Professional		$586.29	$704.22	$714.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.88 / $53.88 / $53.88	Facility		$53.88	$53.88	$53.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $384.80 / $1,085.58	Professional		$33.72	$384.80	$1,085.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.53 / $84.53 / $102.92	Professional		$84.53	$84.53	$102.92
United Facility/Professional Professional Modifier Low / Median / High Price $249.88 / $300.41 / $416.47	Professional		$249.88	$300.41	$416.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $332.22 / $332.22 / $623.52	Professional		$332.22	$332.22	$623.52