Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.22 / $54.98 / $57.40	Facility		$24.22	$54.98	$57.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.79 / $24.22 / $41.90	Professional		$22.79	$24.22	$41.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $103.73	Facility		$80.00	$100.00	$103.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $103.73 / $124.47	Professional		$7.43	$103.73	$124.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.04 / $4.04	Professional		$4.04	$4.04	$4.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $226.95 / $335.72	Professional		$75.00	$226.95	$335.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $9.19 / $79,999.20	Facility		$9.19	$9.19	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $6.50 / $6.50	Facility		$6.50	$6.50	$6.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $6.50 / $6.50	Professional		$6.50	$6.50	$6.50
United Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $3.50	Professional		$3.50	$3.50	$3.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.04 / $4.04	Professional		$4.04	$4.04	$4.04