Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $481.60 / $608.72	Facility		$50.50	$481.60	$608.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $50.50 / $634.83	Professional		$38.00	$50.50	$634.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $354.60 / $508.48 / $3,360.00	Professional		$354.60	$508.48	$3,360.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.00 / $1,260.00 / $1,260.00	Professional		$1,260.00	$1,260.00	$1,260.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $80.00 / $222.60	Professional		$63.60	$80.00	$222.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $314.52 / $364.00 / $526.75	Facility		$314.52	$364.00	$526.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.40 / $436.80 / $545.16	Professional		$350.40	$436.80	$545.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $374.50 / $451.29 / $576.10	Professional		$374.50	$451.29	$576.10
United Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $62.00 / $89.00	Professional		$46.00	$62.00	$89.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.61 / $120.61 / $120.61	Professional		$120.61	$120.61	$120.61