Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.87 / $870.58 / $17,279.64	Facility		$72.87	$870.58	$17,279.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.97 / $136.28 / $294.67	Professional		$53.97	$136.28	$294.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $217.26 / $321.55	Professional		$217.26	$217.26	$321.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $139.31 / $1,656.91 / $3,404.60	Facility		$139.31	$1,656.91	$3,404.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $79.68 / $253.94 / $1,152.48	Professional		$79.68	$253.94	$1,152.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.86 / $644.92 / $1,110.00	Facility		$173.86	$644.92	$1,110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $169.36 / $416.39	Professional		$73.95	$169.36	$416.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $86.50 / $181.64 / $399.11	Facility		$86.50	$181.64	$399.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $178.09 / $383.24	Professional		$88.09	$178.09	$383.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.59 / $200.24 / $356.49	Professional		$35.59	$200.24	$356.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $152.88 / $220.92 / $301.18	Facility		$152.88	$220.92	$301.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.23 / $212.46 / $213.42	Facility		$104.23	$212.46	$213.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.67 / $186.80 / $391.21	Professional		$80.67	$186.80	$391.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,101.95 / $1,740.33 / $3,404.60	Facility		$1,101.95	$1,740.33	$3,404.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $76.69 / $182.03 / $361.46	Professional		$76.69	$182.03	$361.46
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $887.00 / $4,611.00	Facility		$350.00	$887.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.50 / $247.07 / $474.78	Professional		$186.50	$247.07	$474.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.37 / $59.37 / $173.81	Professional		$59.37	$59.37	$173.81