Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.85 / $264.50 / $17,930.00	Facility		$83.85	$264.50	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $79.93 / $273.80	Professional		$38.90	$79.93	$273.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.16 / $44.16 / $238.72	Professional		$44.16	$44.16	$238.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $102.43 / $554.76 / $1,107.58	Facility		$102.43	$554.76	$1,107.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $199.49 / $860.56	Professional		$63.84	$199.49	$860.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $193.85	Facility		$127.50	$127.50	$193.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.59 / $135.29 / $310.29	Professional		$59.59	$135.29	$310.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $66.23 / $130.61 / $269.83	Facility		$66.23	$130.61	$269.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $136.75 / $286.55	Professional		$67.31	$136.75	$286.55
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 $91.79 / $162.41 / $224.18	Facility		$91.79	$162.41	$224.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.34 / $158.10 / $159.04	Facility		$78.34	$158.10	$159.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $145.29 / $291.68	Professional		$63.84	$145.29	$291.68
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 $61.45 / $137.05 / $269.35	Professional		$61.45	$137.05	$269.35
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 $118.73 / $171.07 / $333.44	Professional		$118.73	$171.07	$333.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $47.74 / $129.04	Professional		$47.74	$47.74	$129.04