Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.79 / $248.43 / $14,464.32	Facility		$46.79	$248.43	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $58.28 / $190.43	Professional		$24.82	$58.28	$190.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.07 / $49.40 / $107.12	Professional		$48.07	$49.40	$107.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $80.18 / $115.03	Facility		$55.00	$80.18	$115.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $110.00 / $441.84	Professional		$36.50	$110.00	$441.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $1,110.00	Facility		$644.92	$1,110.00	$1,110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $72.25 / $159.21	Professional		$33.45	$72.25	$159.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $70.03 / $153.19	Facility		$37.61	$70.03	$153.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $75.69 / $154.35	Professional		$39.00	$75.69	$154.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $50.31 / $90.97	Professional		$9.02	$50.31	$90.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.21 / $109.26 / $119.93	Facility		$47.21	$109.26	$119.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.18 / $80.18 / $81.80	Facility		$80.18	$80.18	$81.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $76.40 / $149.94	Professional		$36.34	$76.40	$149.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $69.50 / $138.55	Professional		$34.65	$69.50	$138.55
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 $73.95 / $89.43 / $170.27	Professional		$73.95	$89.43	$170.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.70 / $26.70 / $66.95	Professional		$26.70	$26.70	$66.95