Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.34 / $267.95 / $7,117.32	Facility		$120.34	$267.95	$7,117.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $98.59 / $286.20	Professional		$65.48	$98.59	$286.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.11 / $184.74 / $193.25	Professional		$142.11	$184.74	$193.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $342.52 / $567.35 / $2,000.00	Facility		$342.52	$567.35	$2,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $105.66 / $194.15 / $691.60	Professional		$105.66	$194.15	$691.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.49 / $141.16 / $262.00	Professional		$89.49	$141.16	$262.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $91.78 / $147.16 / $237.25	Facility		$91.78	$147.16	$237.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.95 / $147.27 / $237.52	Professional		$94.95	$147.27	$237.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $149.57 / $265.51	Professional		$27.16	$149.57	$265.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.48 / $158.33 / $186.93	Facility		$104.48	$158.33	$186.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.95 / $120.95 / $127.50	Facility		$120.95	$120.95	$127.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.66 / $178.79 / $232.20	Professional		$108.66	$178.79	$232.20
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 $102.56 / $147.55 / $217.45	Professional		$102.56	$147.55	$217.45
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 $100.49 / $134.85 / $260.30	Professional		$100.49	$134.85	$260.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.30 / $86.30 / $104.46	Professional		$86.30	$86.30	$104.46