Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.14 / $242.41 / $18,711.00	Facility		$95.14	$242.41	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $95.08 / $260.81	Professional		$67.09	$95.08	$260.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.95 / $104.95 / $104.95	Professional		$104.95	$104.95	$104.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $190.25 / $567.02 / $1,107.58	Facility		$190.25	$567.02	$1,107.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $216.15 / $866.64	Professional		$82.95	$216.15	$866.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $140.06 / $311.58	Professional		$80.33	$140.06	$311.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $92.25 / $156.88 / $276.47	Facility		$92.25	$156.88	$276.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.34 / $156.88 / $283.73	Professional		$97.34	$156.88	$283.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $150.05 / $267.18	Professional		$27.01	$150.05	$267.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $191.28 / $234.50	Facility		$123.80	$191.28	$234.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.29 / $156.29 / $159.94	Facility		$156.29	$156.29	$159.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.56 / $155.81 / $293.20	Professional		$83.56	$155.81	$293.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.90 / $567.35 / $1,085.27	Facility		$367.90	$567.35	$1,085.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.22 / $137.25 / $270.89	Professional		$70.22	$137.25	$270.89
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $648.00 / $5,793.00	Facility		$140.00	$648.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $161.72 / $336.97	Professional		$125.00	$161.72	$336.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $130.93	Professional		$55.16	$55.16	$130.93