Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $1,100.80 / $1,391.36	Facility		$50.50	$1,100.80	$1,391.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $50.50 / $1,451.04	Professional		$38.00	$50.50	$1,451.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $856.00 / $1,204.00 / $7,680.00	Professional		$856.00	$1,204.00	$7,680.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $1,035.00 / $1,423.50	Professional		$795.00	$1,035.00	$1,423.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $174.90 / $556.50	Professional		$75.00	$174.90	$556.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $704.00 / $832.00 / $1,104.00	Facility		$704.00	$832.00	$1,104.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $876.00 / $1,092.00 / $1,362.90	Professional		$876.00	$1,092.00	$1,362.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $856.00 / $1,032.00 / $1,347.20	Professional		$856.00	$1,032.00	$1,347.20
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $62.00 / $90.00	Professional		$45.00	$62.00	$90.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $275.68 / $275.68 / $275.68	Professional		$275.68	$275.68	$275.68