Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.48 / $429.48 / $429.48	Facility		$429.48	$429.48	$429.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.45 / $429.48 / $449.60	Professional		$387.45	$429.48	$449.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $75.00 / $224.18	Professional		$32.00	$75.00	$224.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $88.76 / $88.76	Professional		$88.76	$88.76	$88.76
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 Professional Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Professional		$250.00	$250.00	$250.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $19.25 / $19.25	Professional		$19.25	$19.25	$19.25