Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.78 / $264.61 / $18,711.00	Facility		$114.78	$264.61	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $104.71 / $263.17	Professional		$55.10	$104.71	$263.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.42 / $55.42 / $55.42	Professional		$55.42	$55.42	$55.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $108.88 / $554.76 / $1,107.58	Facility		$108.88	$554.76	$1,107.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $261.82 / $1,032.32	Professional		$92.70	$261.82	$1,032.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.09 / $139.09 / $211.47	Facility		$139.09	$139.09	$211.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.55 / $172.38 / $369.97	Professional		$81.55	$172.38	$369.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $92.50 / $158.63 / $339.48	Facility		$92.50	$158.63	$339.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $171.50 / $343.41	Professional		$93.60	$171.50	$343.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $200.24 / $357.19	Professional		$36.17	$200.24	$357.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $178.51 / $274.02	Facility		$117.95	$178.51	$274.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.88 / $190.11 / $190.71	Facility		$108.88	$190.11	$190.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.84 / $185.96 / $348.48	Professional		$88.84	$185.96	$348.48
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 $85.01 / $165.33 / $321.98	Professional		$85.01	$165.33	$321.98
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 $151.34 / $214.64 / $404.92	Professional		$151.34	$214.64	$404.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $64.31 / $152.71	Professional		$64.31	$64.31	$152.71