Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $619.20 / $782.64	Facility		$50.50	$619.20	$782.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $50.50 / $816.21	Professional		$38.00	$50.50	$816.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $472.80 / $674.91 / $4,320.00	Professional		$472.80	$674.91	$4,320.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.00 / $552.00 / $759.20	Professional		$424.00	$552.00	$759.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $93.28 / $296.80	Professional		$75.00	$93.28	$296.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $382.50 / $468.00 / $621.00	Facility		$382.50	$468.00	$621.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.20 / $582.40 / $726.88	Professional		$467.20	$582.40	$726.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $481.50 / $580.50 / $757.80	Professional		$481.50	$580.50	$757.80
United Facility/Professional Professional Modifier Low / Median / High Price $45.34 / $62.00 / $90.67	Professional		$45.34	$62.00	$90.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $168.48 / $168.48 / $168.48	Professional		$168.48	$168.48	$168.48