Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $275.20 / $347.84	Facility		$50.50	$275.20	$347.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $50.50 / $362.76	Professional		$38.00	$50.50	$362.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $183.75 / $286.39 / $1,920.00	Professional		$183.75	$286.39	$1,920.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $207.00 / $284.70	Professional		$159.00	$207.00	$284.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $70.00 / $111.30	Professional		$34.97	$70.00	$111.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $179.73 / $208.00 / $301.00	Facility		$179.73	$208.00	$301.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.20 / $218.40 / $272.58	Professional		$175.20	$218.40	$272.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $258.00 / $336.80	Professional		$214.00	$258.00	$336.80
United Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $62.00 / $90.70	Professional		$46.00	$62.00	$90.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $68.92 / $68.92	Professional		$68.92	$68.92	$68.92