Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $756.80 / $956.56	Facility		$50.50	$756.80	$956.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $50.50 / $997.59	Professional		$38.00	$50.50	$997.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $580.00 / $821.15 / $5,280.00	Professional		$580.00	$821.15	$5,280.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $690.00 / $949.00	Professional		$530.00	$690.00	$949.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $116.60 / $371.00	Professional		$75.00	$116.60	$371.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.50 / $572.00 / $827.75	Facility		$489.50	$572.00	$827.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.00 / $728.00 / $908.60	Professional		$584.00	$728.00	$908.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $588.50 / $709.17 / $905.30	Professional		$588.50	$709.17	$905.30
United Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $61.00 / $87.00	Professional		$46.00	$61.00	$87.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.53 / $189.53 / $189.53	Professional		$189.53	$189.53	$189.53