Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Facility		$45.25	$45.25	$45.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $45.25 / $45.25	Professional		$42.59	$45.25	$45.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $29.86 / $85.00 / $134.93	Facility		$29.86	$85.00	$134.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $136.72 / $161.91	Professional		$30.58	$136.72	$161.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.08 / $45.25 / $90.50	Facility		$44.08	$45.25	$90.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Professional		$45.25	$45.25	$45.25
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 $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 $29.86 / $29.86 / $30.58	Facility		$29.86	$29.86	$30.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $30.58 / $32.38	Professional		$27.70	$30.58	$32.38
United Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $44.36 / $53.23	Professional		$44.36	$44.36	$53.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $8.19 / $8.19	Professional		$8.19	$8.19	$8.19