Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.67 / $246.39 / $14,464.32	Facility		$62.67	$246.39	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $64.88 / $247.08	Professional		$29.21	$64.88	$247.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $140.34 / $275.27	Professional		$66.06	$140.34	$275.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $163.47 / $1,104.92 / $2,161.55	Facility		$163.47	$1,104.92	$2,161.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $174.38 / $745.84	Professional		$48.00	$174.38	$745.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.42 / $102.04 / $269.70	Professional		$44.42	$102.04	$269.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $48.50 / $102.18 / $265.82	Facility		$48.50	$102.18	$265.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $96.41 / $252.23	Professional		$48.96	$96.41	$252.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $149.78 / $266.77	Professional		$26.61	$149.78	$266.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.85 / $174.20 / $202.34	Facility		$58.85	$174.20	$202.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.01 / $138.01 / $138.62	Facility		$138.01	$138.01	$138.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $118.63 / $253.46	Professional		$48.00	$118.63	$253.46
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 $46.20 / $109.88 / $233.75	Professional		$46.20	$109.88	$233.75
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 $98.61 / $147.66 / $289.76	Professional		$98.61	$147.66	$289.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.71 / $35.71 / $112.27	Professional		$35.71	$35.71	$112.27