Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $412.80 / $521.76	Facility		$50.50	$412.80	$521.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $50.50 / $521.76	Professional		$38.00	$50.50	$521.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $435.84 / $2,880.00	Professional		$300.00	$435.84	$2,880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.00 / $345.00 / $474.50	Professional		$265.00	$345.00	$474.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $80.00 / $185.50	Professional		$58.30	$80.00	$185.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $312.00 / $414.00	Facility		$255.00	$312.00	$414.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $364.00 / $454.30	Professional		$292.00	$364.00	$454.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $321.00 / $387.00 / $505.20	Professional		$321.00	$387.00	$505.20
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 $112.32 / $112.32 / $112.32	Professional		$112.32	$112.32	$112.32