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 / $544.14	Professional		$38.00	$50.50	$544.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $451.50 / $2,880.00	Professional		$306.00	$451.50	$2,880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $347.50 / $589.45	Professional		$270.00	$347.50	$589.45
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 / $90.67	Professional		$46.00	$62.00	$90.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.32 / $112.32 / $112.32	Professional		$112.32	$112.32	$112.32