Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $550.40 / $695.68	Facility		$50.50	$550.40	$695.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $50.50 / $725.52	Professional		$38.00	$50.50	$725.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $408.80 / $582.00 / $3,840.00	Professional		$408.80	$582.00	$3,840.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.00 / $483.00 / $664.30	Professional		$371.00	$483.00	$664.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $81.62 / $259.70	Professional		$74.20	$81.62	$259.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $356.00 / $416.00 / $602.00	Facility		$356.00	$416.00	$602.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.80 / $509.60 / $636.02	Professional		$408.80	$509.60	$636.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $428.00 / $515.76 / $658.40	Professional		$428.00	$515.76	$658.40
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 $137.84 / $137.84 / $137.84	Professional		$137.84	$137.84	$137.84