Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.40 / $1,506.00 / $7,971.97	Facility		$97.40	$1,506.00	$7,971.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $60.88 / $60.88	Professional		$35.74	$60.88	$60.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $45.00 / $51.25	Facility		$35.00	$45.00	$51.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $59.84 / $110.00	Professional		$16.09	$59.84	$110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.06 / $45.06 / $45.06	Professional		$45.06	$45.06	$45.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $79,999.20 / $79,999.20	Facility		$100.00	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $43.50 / $51.25	Facility		$35.00	$43.50	$51.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.44 / $63.44 / $63.44	Professional		$63.44	$63.44	$63.44