Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.41 / $239.90 / $17,930.00	Facility		$68.41	$239.90	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $64.59 / $200.24	Professional		$29.94	$64.59	$200.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $42.12 / $216.52	Professional		$42.12	$42.12	$216.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $170.93 / $567.02 / $1,107.58	Facility		$170.93	$567.02	$1,107.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $53.76 / $181.76 / $784.32	Professional		$53.76	$181.76	$784.32
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $88.58 / $308.39 / $308.39	Professional	50	$88.58	$308.39	$308.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.83 / $111.84 / $281.79	Professional		$48.83	$111.84	$281.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $53.76 / $110.62 / $250.69	Facility		$53.76	$110.62	$250.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $101.18 / $258.52	Professional		$54.94	$101.18	$258.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $150.05 / $267.18	Professional		$26.61	$150.05	$267.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.96 / $170.43 / $211.72	Facility		$61.96	$170.43	$211.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.41 / $144.41 / $145.41	Facility		$144.41	$144.41	$145.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.30 / $123.42 / $265.05	Professional		$53.30	$123.42	$265.05
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 $51.74 / $117.25 / $244.58	Professional		$51.74	$117.25	$244.58
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 $100.35 / $148.76 / $302.10	Professional		$100.35	$148.76	$302.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $38.51 / $117.04	Professional		$38.51	$38.51	$117.04