Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.05 / $2,769.52 / $18,711.00	Facility		$56.05	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $62.58 / $105.65	Professional		$28.60	$62.58	$105.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.84 / $98.84 / $98.84	Professional		$98.84	$98.84	$98.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $96.94 / $137.78	Facility		$55.00	$96.94	$137.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $131.52 / $528.48	Professional		$43.70	$131.52	$528.48
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 $40.07 / $85.20 / $190.37	Professional		$40.07	$85.20	$190.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $45.04 / $83.53 / $180.50	Facility		$45.04	$83.53	$180.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $89.17 / $186.93	Professional		$46.50	$89.17	$186.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $149.78 / $266.77	Professional		$26.48	$149.78	$266.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.05 / $129.29 / $143.38	Facility		$50.05	$129.29	$143.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.94 / $96.94 / $97.80	Facility		$96.94	$96.94	$97.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $91.47 / $179.27	Professional		$43.68	$91.47	$179.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $84.04 / $165.64	Professional		$42.04	$84.04	$165.64
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 $87.72 / $109.16 / $204.91	Professional		$87.72	$109.16	$204.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $32.11 / $79.06	Professional		$32.11	$32.11	$79.06