Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.24 / $1,144.86 / $10,809.00	Facility		$203.24	$1,144.86	$10,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $143.41 / $388.86	Professional		$75.30	$143.41	$388.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.28 / $111.45 / $329.89	Professional		$54.28	$111.45	$329.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $220.27 / $1,993.85 / $5,158.68	Facility		$220.27	$1,993.85	$5,158.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $314.38 / $1,194.16	Professional		$154.63	$314.38	$1,194.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.72 / $421.10 / $731.00	Facility		$158.72	$421.10	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.27 / $227.17 / $427.80	Professional		$140.27	$227.17	$427.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $140.44 / $234.58 / $399.11	Facility		$140.44	$234.58	$399.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.25 / $238.34 / $387.48	Professional		$147.25	$238.34	$387.48
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 $149.26 / $215.12 / $313.48	Facility		$149.26	$215.12	$313.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.08 / $216.08 / $220.27	Facility		$94.08	$216.08	$220.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.76 / $260.99 / $403.77	Professional		$154.76	$260.99	$403.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,454.88 / $1,992.71 / $3,814.01	Facility		$1,454.88	$1,992.71	$3,814.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.84 / $220.37 / $373.07	Professional		$147.84	$220.37	$373.07
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 $187.00 / $242.94 / $456.96	Professional		$187.00	$242.94	$456.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.31 / $120.31 / $178.32	Professional		$120.31	$120.31	$178.32