Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $619.20 / $782.64	Facility		$50.50	$619.20	$782.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $50.50 / $782.64	Professional		$38.00	$50.50	$782.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $464.00 / $656.00 / $4,320.00	Professional		$464.00	$656.00	$4,320.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.00 / $552.00 / $759.20	Professional		$424.00	$552.00	$759.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $93.28 / $296.80	Professional		$75.00	$93.28	$296.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $396.00 / $468.00 / $677.25	Facility		$396.00	$468.00	$677.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.20 / $582.40 / $726.88	Professional		$467.20	$582.40	$726.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $481.50 / $580.23 / $740.70	Professional		$481.50	$580.23	$740.70
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $59.00 / $83.25	Professional		$45.00	$59.00	$83.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.07 / $155.07 / $155.07	Professional		$155.07	$155.07	$155.07