Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $1,788.80 / $2,260.96	Facility		$50.50	$1,788.80	$2,260.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $50.50 / $2,260.96	Professional		$38.00	$50.50	$2,260.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,391.00 / $1,956.50 / $12,480.00	Professional		$1,391.00	$1,956.50	$12,480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,325.00 / $1,725.00 / $2,372.50	Professional		$1,325.00	$1,725.00	$2,372.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $291.50 / $927.50	Professional		$75.00	$291.50	$927.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $1,352.00 / $1,956.50	Facility		$1,196.00	$1,352.00	$1,956.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,460.00 / $1,820.00 / $2,271.50	Professional		$1,460.00	$1,820.00	$2,271.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,391.00 / $1,676.22 / $2,139.80	Professional		$1,391.00	$1,676.22	$2,139.80
United Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $63.00 / $93.56	Professional		$46.00	$63.00	$93.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $447.98 / $447.98 / $447.98	Professional		$447.98	$447.98	$447.98