Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.15 / $1,082.06 / $9,703.00	Facility		$197.15	$1,082.06	$9,703.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.75 / $136.68 / $366.37	Professional		$67.75	$136.68	$366.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $70.30 / $217.28	Professional		$63.18	$70.30	$217.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $215.25 / $1,130.00 / $2,923.64	Facility		$215.25	$1,130.00	$2,923.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $147.72 / $303.69 / $1,164.40	Professional		$147.72	$303.69	$1,164.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.77 / $421.10 / $731.00	Facility		$162.77	$421.10	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $221.66 / $418.61	Professional		$132.76	$221.66	$418.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $132.68 / $220.52 / $376.85	Facility		$132.68	$220.52	$376.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.50 / $227.05 / $378.64	Professional		$139.50	$227.05	$378.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $200.24 / $357.19	Professional		$36.31	$200.24	$357.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $149.75 / $206.41 / $306.02	Facility		$149.75	$206.41	$306.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.74 / $211.55 / $215.25	Facility		$93.74	$211.55	$215.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.93 / $251.48 / $394.56	Professional		$149.93	$251.48	$394.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $824.54 / $1,129.34 / $2,161.55	Facility		$824.54	$1,129.34	$2,161.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $215.75 / $364.55	Professional		$143.22	$215.75	$364.55
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 $178.35 / $226.20 / $453.79	Professional		$178.35	$226.20	$453.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.45 / $117.45 / $175.06	Professional		$117.45	$117.45	$175.06