Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.57 / $1,528.29 / $7,984.74	Facility		$214.57	$1,528.29	$7,984.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $149.90 / $417.68	Professional		$75.30	$149.90	$417.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $77.65 / $178.70	Professional		$69.84	$77.65	$178.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $237.18 / $1,993.85 / $5,158.68	Facility		$237.18	$1,993.85	$5,158.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $160.77 / $334.06 / $1,282.32	Professional		$160.77	$334.06	$1,282.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.88 / $421.10 / $731.00	Facility		$177.88	$421.10	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.44 / $241.45 / $460.88	Professional		$146.44	$241.45	$460.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $147.87 / $243.46 / $420.64	Facility		$147.87	$243.46	$420.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.87 / $251.78 / $417.12	Professional		$154.87	$251.78	$417.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $227.00 / $410.94	Professional		$40.90	$227.00	$410.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $164.02 / $229.32 / $338.10	Facility		$164.02	$229.32	$338.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.12 / $232.84 / $237.18	Facility		$103.12	$232.84	$237.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.03 / $274.80 / $434.77	Professional		$164.03	$274.80	$434.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,292.92 / $1,992.71 / $3,814.01	Facility		$1,292.92	$1,992.71	$3,814.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $237.47 / $401.71	Professional		$157.08	$237.47	$401.71
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $887.00 / $4,611.00	Facility		$350.00	$887.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $227.01 / $477.32	Professional		$156.47	$227.01	$477.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.08 / $128.08 / $193.19	Professional		$128.08	$128.08	$193.19