Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.92 / $263.81 / $17,930.00	Facility		$114.92	$263.81	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $99.33 / $274.79	Professional		$57.00	$99.33	$274.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $282.62 / $282.62 / $282.62	Professional		$282.62	$282.62	$282.62
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 $87.51 / $253.22 / $1,018.00	Professional		$87.51	$253.22	$1,018.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.11 / $143.11 / $217.58	Facility		$143.11	$143.11	$217.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $152.13 / $365.74	Professional		$82.15	$152.13	$365.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $92.56 / $152.35 / $280.68	Facility		$92.56	$152.35	$280.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.64 / $154.50 / $312.05	Professional		$92.64	$154.50	$312.05
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 $112.63 / $172.39 / $266.92	Facility		$112.63	$172.39	$266.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.88 / $186.18 / $187.83	Facility		$108.88	$186.18	$187.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $186.97 / $344.29	Professional		$87.70	$186.97	$344.29
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 $84.08 / $162.09 / $318.11	Professional		$84.08	$162.09	$318.11
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 $141.75 / $194.03 / $397.80	Professional		$141.75	$194.03	$397.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $66.34 / $152.77	Professional		$66.34	$66.34	$152.77