Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.56 / $250.56 / $250.56	Facility		$250.56	$250.56	$250.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $250.56 / $358.08	Professional		$143.10	$250.56	$358.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $80.00 / $100.00	Facility		$43.32	$80.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $280.10 / $542.12	Professional		$38.72	$280.10	$542.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $66.81 / $66.81	Professional		$66.81	$66.81	$66.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $75.00 / $75.00	Professional		$60.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $43.32 / $43.32	Facility		$43.32	$43.32	$43.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $387.26 / $523.94	Professional		$38.72	$387.26	$523.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $25.86 / $31.49	Professional		$25.86	$25.86	$31.49
United Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $23.17 / $44.76	Professional		$17.26	$23.17	$44.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $280.10 / $280.10 / $280.10	Professional		$280.10	$280.10	$280.10