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 $217.15 / $254.02 / $379.76	Professional		$217.15	$254.02	$379.76
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 $43.89 / $300.39 / $567.92	Professional		$43.89	$300.39	$567.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.39 / $318.39 / $318.39	Facility		$318.39	$318.39	$318.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.64 / $270.64 / $318.39	Professional		$270.64	$270.64	$318.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $46.93 / $75.00	Professional		$46.93	$46.93	$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 / $852.48	Professional		$38.72	$387.26	$852.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $43.89 / $53.44	Professional		$43.89	$43.89	$53.44
United Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $26.59 / $44.76	Professional		$23.17	$26.59	$44.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $300.39 / $300.39 / $300.39	Professional		$300.39	$300.39	$300.39