Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.98 / $293.26 / $17,930.00	Facility		$89.98	$293.26	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $88.62 / $246.69	Professional		$47.42	$88.62	$246.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.62 / $251.62 / $251.62	Professional		$251.62	$251.62	$251.62
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 $69.34 / $223.12 / $913.04	Professional		$69.34	$223.12	$913.04
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $130.94 / $147.56 / $147.56	Professional	50	$130.94	$147.56	$147.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.93 / $144.65 / $327.90	Professional		$63.93	$144.65	$327.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $131.19 / $308.17	Facility		$72.00	$131.19	$308.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $133.77 / $309.89	Professional		$72.00	$133.77	$309.89
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 $84.93 / $199.33 / $246.56	Facility		$84.93	$199.33	$246.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.70 / $166.70 / $168.18	Facility		$166.70	$166.70	$168.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.63 / $161.00 / $308.27	Professional		$69.63	$161.00	$308.27
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 $66.53 / $144.52 / $284.83	Professional		$66.53	$144.52	$284.83
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 $128.81 / $182.00 / $351.49	Professional		$128.81	$182.00	$351.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.77 / $50.77 / $136.01	Professional		$50.77	$50.77	$136.01