Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.06 / $639.75 / $6,470.00	Facility		$72.06	$639.75	$6,470.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $119.31 / $279.11	Professional		$45.50	$119.31	$279.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $111.46 / $346.30	Professional		$81.36	$111.46	$346.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $111.84 / $1,051.96 / $2,161.55	Facility		$111.84	$1,051.96	$2,161.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $65.76 / $198.22 / $928.80	Professional		$65.76	$198.22	$928.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.09 / $644.92 / $1,110.00	Facility		$139.09	$644.92	$1,110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.27 / $139.99 / $335.30	Professional		$61.27	$139.99	$335.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $149.93 / $329.28	Facility		$71.00	$149.93	$329.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.30 / $142.47 / $312.19	Professional		$72.30	$142.47	$312.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.59 / $200.24 / $357.19	Professional		$35.59	$200.24	$357.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.63 / $178.51 / $251.92	Facility		$125.63	$178.51	$251.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $171.69 / $171.83	Facility		$84.49	$171.69	$171.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.75 / $154.55 / $314.98	Professional		$66.75	$154.55	$314.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $707.64 / $1,104.92 / $2,161.55	Facility		$707.64	$1,104.92	$2,161.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.29 / $147.09 / $291.02	Professional		$63.29	$147.09	$291.02
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.51 / $175.99 / $358.61	Professional		$71.51	$175.99	$358.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.31 / $49.31 / $139.68	Professional		$49.31	$49.31	$139.68