Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.90 / $276.54 / $14,464.32	Facility		$93.90	$276.54	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $98.97 / $308.11	Professional		$44.50	$98.97	$308.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.70 / $154.75 / $250.36	Professional		$100.70	$154.75	$250.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $208.22 / $567.02 / $1,107.58	Facility		$208.22	$567.02	$1,107.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $71.67 / $210.76 / $903.20	Professional		$71.67	$210.76	$903.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.11 / $142.82 / $325.16	Professional		$67.11	$142.82	$325.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $74.00 / $134.71 / $302.01	Facility		$74.00	$134.71	$302.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.36 / $140.63 / $307.60	Professional		$75.36	$140.63	$307.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.59 / $200.24 / $357.19	Professional		$35.59	$200.24	$357.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.78 / $208.62 / $244.55	Facility		$87.78	$208.62	$244.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.80 / $165.80 / $166.81	Facility		$165.80	$165.80	$166.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.67 / $152.79 / $305.76	Professional		$71.67	$152.79	$305.76
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 $68.84 / $143.72 / $282.51	Professional		$68.84	$143.72	$282.51
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 $73.44 / $162.15 / $348.66	Professional		$73.44	$162.15	$348.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.43 / $54.43 / $135.33	Professional		$54.43	$54.43	$135.33