Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.53 / $4,497.00 / $20,680.40	Facility		$209.53	$4,497.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.86 / $229.91 / $432.85	Professional		$190.86	$229.91	$432.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $255.35 / $255.35 / $255.35	Professional		$255.35	$255.35	$255.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $291.57 / $967.31	Facility		$90.00	$291.57	$967.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $275.81 / $451.77 / $1,861.35	Professional		$275.81	$451.77	$1,861.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $714.97 / $714.97	Facility		$714.97	$714.97	$714.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.26 / $181.26 / $217.17	Professional		$181.26	$181.26	$217.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $652.75 / $652.75 / $652.75	Professional		$652.75	$652.75	$652.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $221.82	Professional		$45.00	$50.00	$221.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $126.31 / $178.94 / $231.33	Facility		$126.31	$178.94	$231.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $270.44 / $270.44 / $291.57	Facility		$270.44	$270.44	$291.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.25 / $437.03 / $578.73	Professional		$307.25	$437.03	$578.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $275.81 / $392.05 / $526.78	Professional		$275.81	$392.05	$526.78
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.82 / $400.92 / $661.74	Professional		$206.82	$400.92	$661.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.12 / $189.12 / $237.27	Professional		$189.12	$189.12	$237.27