Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $688.00 / $869.60	Facility		$50.50	$688.00	$869.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $50.50 / $906.90	Professional		$38.00	$50.50	$906.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $525.60 / $744.75 / $4,800.00	Professional		$525.60	$744.75	$4,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.00 / $621.00 / $854.10	Professional		$477.00	$621.00	$854.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $104.94 / $333.90	Professional		$75.00	$104.94	$333.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $440.00 / $520.00 / $690.00	Facility		$440.00	$520.00	$690.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.60 / $655.20 / $817.74	Professional		$525.60	$655.20	$817.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $535.00 / $645.00 / $842.00	Professional		$535.00	$645.00	$842.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $62.00 / $88.90	Professional		$46.00	$62.00	$88.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $172.30 / $172.30 / $172.30	Professional		$172.30	$172.30	$172.30